Fenton, David

Fenton, David is an individual health care provider with primary practice located at 100 Retreat Ave Suite 903, Hartford CT 06106-2528. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Fenton, David can be contacted via phone (860) 244-0148.

Contact Information

Primary practice address
100 Retreat Ave Suite 903 Hartford CT 06106-2528
Phone: (860) 244-0148
Fax: (860) 240-7063
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 041531 Connecticut
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 41531 Connecticut

Profile Details

NPI number 1669577540
LBN Legal business name Fenton, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Nov 15th, 2022 - about 3 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 1669577540 NPPES
Connecticut MEDICAID 06144079005

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