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Dr. Philip Louis Fava II, DMD
Student in an Organized Health Care Education/Training Program in Farmington, Connecticut
NPI 1851603419

Philip Louis Fava II is a Student in an Organized Health Care Education/Training Program based in Bloomfield, CT. Philip Louis Fava II practices in Farmington, CT and has the professional credentials of DMD. The NPI Number for Philip Louis Fava II is 1851603419 and holds a License No. (Connecticut).

The current practice location address for Philip Louis Fava II is 263 Farmington Ave, Farmington, CT and can be reached out via phone at 860-679-2000.

Location: 263 Farmington Ave, Farmington, CT, 06002-1370
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851603419
Provider Name
Philip Louis Fava II
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
263 Farmington Ave, Farmington, CT, 06002-1370
Phone Number
860-679-2000
Fax Number
Provider Enumeration Date
07/11/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
263 Farmington Ave
City
Farmington
State
Connecticut
Zip
06030-0001
Phone Number
860-679-2000
Fax Number
person
Provider Business Mailing Address Details
Address
263 Farmington Ave
City
Farmington
State
Connecticut
Zip
06030-0001
Phone Number
860-679-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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