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
Fax: (203) 785-3634
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306800099 NPPES
Ohio MEDICAID 2461894

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