Carlos Enrique Faria, PA-C
Physician Assistant, Surgical in Hartford, CT. Individual provider (NPI-1).
NPI number1508307166
StatusActive
Last updated in NPPESJan 28, 2022
Details
- NPI
- 1508307166
- Entity type
- Individual (NPI-1)
- Name
- Carlos Enrique Faria
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 15, 2017
- Certification date
- Jan 28, 2022
- Last updated
- Jan 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 4668 | CT | Yes |
| 363A00000X | Physician Assistant | 4668 | CT |
Practice location
80 Seymour StHartford, CT 06102-8000
Phone 860-972-5022
Mailing address
80 Seymour StHartford, CT 06102-8000
Phone 860-972-5100
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