person
Eliza Fantarella, DPM
Foot & Ankle Surgery Podiatrist in New Haven, Connecticut
NPI 1437319019

Eliza Fantarella is a Foot & Ankle Surgery Podiatrist based in New Haven, CT and is specialized in Foot & Ankle Surgery. Eliza Fantarella practices in New Haven, CT and has the professional credentials of DPM. The NPI Number for Eliza Fantarella is 1437319019 and holds a License No. 000867 (Connecticut).

The current practice location address for Eliza Fantarella is 330 Orchard St, New Haven, CT and can be reached out via phone at 203-789-3152 and via fax at 203-867-5457. You can also correspond with Eliza Fantarella through the mailing address at 330 ORCHARD ST, NEW HAVEN, CT - 06511 (mailing address contact number: 203-789-3152).

Location: 330 Orchard St, New Haven, CT, 06511
person
Provider Profile Details
NPI Number
1437319019
Provider Name
Eliza Fantarella
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
330 Orchard St, New Haven, CT, 06511
Phone Number
203-789-3152
Fax Number
203-867-5457
Provider Enumeration Date
06/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1437319019 05 CT
institution
Provider Business Practice Location Address Details
Address
330 Orchard St
City
State
Zip
06511
Phone Number
203-789-3152
Fax Number
203-867-5457
person
Provider Business Mailing Address Details
Address
330 Orchard St
City
State
Zip
06511
Phone Number
203-789-3152
Fax Number
203-867-5457
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
000867 (Connecticut)
Definition
Definition to come...
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