Eugene Fantl, M.D.

NPI #1255337465 in East Hartford, Connecticut

Provider Information

NPI Number
1255337465
Entity Type
Individual
Name
Eugene Fantl, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pediatrics
Credential
M.D.
Enumeration Date
Jun 22, 2005
Last Updated
Jul 15, 2010

Practice Location

Address
99 ASH ST
ZIP Code
06108-3226
Phone
(860) 282-3859

Specialties & Taxonomy Codes

Specialty
Pediatrics

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