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Organization

JUAN FICA, MD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JUAN FICA M.D. (PRESIDENT)
(203) 753-9313
Entity
Organization

Contact information

Practice address
1389 W MAIN ST, TOWER 2, SUITE 320, WATERBURY, CT 06708-3104
(203) 753-9313
(203) 573-8976
Mailing address
1389 W MAIN ST, TOWER 2, SUITE 320, WATERBURY, CT 06708-3104
(203) 753-9313
(203) 573-8976

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
020699
CT
207R00000X
Internal Medicine Physician
Primary
040407
CT
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
020699
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C64866
RAILROAD MEDICARE
CT
Enumeration date
03/03/2006
Last updated
09/11/2025
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