Fantl, Eugene
Fantl, Eugene is an individual health care provider with primary practice located at 99 Ash St , East Hartford CT 06108-3226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fantl, Eugene can be contacted via phone (860) 282-3859.Contact Information
Primary practice address
99 Ash St
East Hartford CT 06108-3226
Phone: (860) 282-3859
Fax: (860) 282-8574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 019762 | Connecticut |
Profile Details
| NPI number | 1255337465 |
|---|---|
| LBN Legal business name | Fantl, Eugene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jul 15th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255337465 | NPPES |
| Connecticut | MEDICAID | 1197623 |
Popular Providers
-
Thomas, Latesha I Dawson
99 Ash St Uconn Medical Group-Pediatrics, East Hartford CT 06108-3226 -
Moles, Rebecca
282 Washington St , Hartford CT 06106-3322 -
Ahmed, Sheikh Irfan
580 Burnside Ave Suite 4, East Hartford CT 06108-3579 -
Cohen-Abbo, Alberto
282 Washington St , Hartford CT 06106-3322 -
Bernstein, Jill
282 Washington St , Hartford CT 06106-3322 -
Algranati, Paula
282 Washington St , Hartford CT 06106-3322 -
Slivka, Hilda
76 New Britain Ave , Hartford CT 06106-3305 -
Brownell, Kim Clancy
200 Retreat Avenue Hartford Hospital Psychiatry Dept, Hartford CT 06106-3310