Fares, Wassim H
Fares, Wassim H is an individual health care provider with primary practice located at 15 York St Lci-105-C, New Haven CT 06510-3221. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Fares, Wassim H can be contacted via phone (203) 785-4196.Contact Information
Primary practice address
15 York St Lci-105-C
New Haven CT 06510-3221
Phone: (203) 785-4196
Fax: (203) 785-3634
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 050113 | Connecticut |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 050113 | Connecticut |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 050113 | Connecticut |
Profile Details
| NPI number | 1306800099 |
|---|---|
| LBN Legal business name | Fares, Wassim H |
| Credentials | MD, MSC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Jan 24th, 2013 - about 11 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 | 1306800099 | NPPES |
| Ohio | MEDICAID | 2461894 |
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