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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EUGENE FANTL, M.D.

Active

EUGENE FANTL, M.D. is a Pediatrics healthcare provider located in EAST HARTFORD, Connecticut. NPI 1255337465 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · EAST HARTFORD, CT

Registration Details

NPI Number
1255337465
Provider Type
Individual
Gender
Male
NPI Issued
Jun 22, 2005 (21.114953554574 yrs)
Last Updated
Jul 15, 2010
License
019762 (CT)

Practice Information

Address
99 ASH ST
EAST HARTFORD, CT, 061083226
Browse CT providers · Browse ZIP 06108
Phone
8602823859
Fax
8602828574
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in EAST HARTFORD, CT

Name Credential NPI
LARRY SCHERZER 1548267990
DR. SHEIKH IRFAN AHMED M.D. 1245210764
DR. LATESHA I DAWSON THOMAS M.D. 1497925044
PAULA ANDREA LUCUARA REVELO M.D. 1740547058
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.