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1366448656
FARIPOUR A FOROUHAR
FARMINGTON, CT
NPI
1366448656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0101X Pathology Anatomic Pathology
(Licence: CT 020125)
Enumeration Date
2005-06-22
Last Update Date
2022-09-26
Business Address
FARIPOUR A FOROUHAR M.D.
263 FARMINGTON AVE ANATOMIC PATHOLOGY
FARMINGTON, CT 06030-0001
Phone number: 860-679-2980
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Mailing Address
FARIPOUR A FOROUHAR M.D.
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503
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