BRENT FAHERTY

RIDGEFIELD, CT
NPI1902565625
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CT  10273)
Enumeration Date2021-12-09
Last Update Date2022-03-18
Business Address
Mr. BRENT FAHERTY FNP
96 DANBURY RD
RIDGEFIELD, CT 06877-4069
Phone number: 203-438-0874
Mailing Address
Mr. BRENT FAHERTY FNP
96 DANBURY RD
RIDGEFIELD, CT 06877-4069
Phone number: 203-438-0874
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