Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 14821 | CT |
NPI | 1003846502 |
---|---|
Provider Name | Leonard Raymond Farber |
First Address | New Haven, CT 06520 |
Second Address | New Haven, CT 06520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 31/01/2013 |