James B Fanning JR.
Obstetrician & Gynecologist
185 Center St Suite H
Wallingford
, Connecticut 06492-4100
James B Fanning JR.
Obstetrician & Gynecologist
185 Center St Suite H
Wallingford
, Connecticut 06492-4100
(203) 284-3161
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- James B Fanning JR.
- 747 Wallingford Rd
- Cheshire, CT
- Zip : 06410-2914
- Fax : (203) 284-3161
- Phone : (203) 699-1637
Second Address
- James B Fanning JR.
- 185 Center St Suite H
- Wallingford, CT
- Zip : 06492-4100
- Fax : (203) 284-3161
- Phone : (203) 284-1060
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 034475 | CT |
National Provider Identifier
| NPI | 1023022282 |
|---|---|
| Provider Name | James B Fanning JR. |
| First Address | Cheshire, CT 06410-2914 |
| Second Address | Wallingford, CT 06492-4100 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G12274 | (02) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.