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Individual

BRIAN SCOTT FUEHRLEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
950 CAMPBELL AVE, DEPARTMENT OF PSYCHIATRY, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
950 CAMPBELL AVE, DEPARTMENT OF PSYCHIATRY, WEST HAVEN, CT 06516-2770
(203) 932-5711

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
050471
CT
2084P0802X
Addiction Psychiatry Physician
050471
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008993300
FL
Enumeration date
05/31/2008
Last updated
12/22/2014
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