Faustin, Alex

Faustin, Alex is an individual health care provider with primary practice located at 816 Broad St Suite 24, Meriden CT 06450-4350. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Faustin, Alex can be contacted via phone (203) 634-0086.

Contact Information

Primary practice address
816 Broad St Suite 24 Meriden CT 06450-4350
Phone: (203) 634-0086
Fax: (203) 237-6010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 049152 Connecticut

Profile Details

NPI number 1346440237
LBN Legal business name Faustin, Alex
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2007
Last updated Aug 29th, 2011 - about 13 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 1346440237 NPPES
Connecticut MEDICAID 1346440237

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