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
- City
- East Hartford
- State
- Connecticut
- ZIP Code
- 06108-3226
- Phone
- (860) 282-3859
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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