Healthcare Provider Details

I. General information

NPI: 1821005596
Provider Name (Legal Business Name): JAMES H FARMER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1423 CHAPEL STREET
NEW HAVEN CT
06511
US

IV. Provider business mailing address

64 QUARRY LEDGE
MADISON CT
06443
US

V. Phone/Fax

Practice location:
  • Phone: 203-789-3538
  • Fax: 203-789-3965
Mailing address:
  • Phone: 203-245-4478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number026215
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: