Organization
JOHN A FARENS M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN AUGUSTINE FARENS M.D., F.A.C.P (PHYSICIAN)
(203) 926-1206
Entity
Organization
Contact information
Practice address
224 LEAVENWORTH RD, SHELTON, CT 06484-1881
(203) 926-1206
Mailing address
224 LEAVENWORTH RD, SHELTON, CT 06484-1881
(203) 926-1206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
053173
CT
Other
Enumeration date
06/20/2014
Last updated
07/25/2014
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