Fenton, Fred Robert

Fenton, Fred Robert is an individual health care provider with primary practice located at 326 Washington St , Norwich CT 06360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Fenton, Fred Robert can be contacted via phone (860) 889-8331.

Contact Information

Primary practice address
326 Washington St Norwich CT 06360
Phone: (860) 889-8331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5004494 Connecticut

Profile Details

NPI number 1568572667
LBN Legal business name Fenton, Fred Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 17 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 1568572667 NPPES
Other 41509941 TRICARE

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