Fugal, Jan Peter

Fugal, Jan Peter is an individual health care provider with primary practice located at 1556 New Haven Ave , Milford CT 06460-8220. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Fugal, Jan Peter can be contacted via phone (203) 878-5941.

Contact Information

Primary practice address
1556 New Haven Ave Milford CT 06460-8220
Phone: (203) 878-5941
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 013520 Connecticut
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 013520 Connecticut

Profile Details

NPI number 1336241033
LBN Legal business name Fugal, Jan Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Mar 7th, 2023 - about last year

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 1336241033 NPPES
Connecticut Other 013520 CT STATE LICENSE

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