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Individual

EDWARD K AFFUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
10 TALCOTT NOTCH RD, FARMINGTON, CT 06030
(860) 679-6700
(860) 679-6736
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-6700
(860) 679-6736

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
009298
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F402903
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05993242
NY
Enumeration date
02/27/2020
Last updated
08/30/2022
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