Fahey, John T

Fahey, John T is an individual health care provider with primary practice located at 20 York St Ynhh (Children'S) West Pavilion 2Nd Floor, New Haven CT 06510-3220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Fahey, John T can be contacted via phone (203) 785-4081.

Contact Information

Primary practice address
20 York St Ynhh (Children'S) West Pavilion 2Nd Floor New Haven CT 06510-3220
Fax: (203) 737-2786
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 024404 Connecticut

Profile Details

NPI number 1851374086
LBN Legal business name Fahey, John T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jul 1st, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851374086 NPPES
Connecticut MEDICAID 001244045

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