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EUGENE FANTL M.D.
NPI 1255337465
Pediatrics in East Hartford, CT

Active since June 22, 2005
99 ASH ST, EAST HARTFORD, CT 06108(860) 282-3859(860) 282-8574 Get Directions Write a Review

NPPES record last updated: July 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eugene Fantl M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EUGENE FANTL M.D. (NPI 1255337465) is an individual pediatrics provider in East Hartford, Connecticut, licensed in Connecticut (019762) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1255337465
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameEUGENE FANTLCredential: M.D.
Location Address99 ASH STEast Hartford, CT 06108-3226
Mailing Address65 Kane St, Provider EnrollmentWest Hartford, CT 06119-2110 · (860) 523-6421 · Fax (860) 523-3701
Phone(860) 282-3859
Fax(860) 282-8574
Sole ProprietorNo
Enumeration DateJune 22, 2005
Last NPPES UpdateJuly 15, 2010
✔ NPI 1255337465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CT · 019762
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
99 ASH ST, East Hartford, CT 06108
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Other Identifiers 3

Medicare UPINE10244CT
Medicare PIN370001388CT
Medicaid1197623CT

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEHANGIR DURRANI MD
Ophthalmology
99 ASH ST
EAST HARTFORD, CT 06108
Capitol Planning Region (860) 282-3894
NANCY KALAGHER APRN
Nurse Practitioner (Obstetrics & Gynecology)
99 ASH ST
EAST HARTFORD, CT 06108
Capitol Planning Region (860) 282-8510
CATHLEEN CAMPBELL MD
Obstetrics & Gynecology
99 ASH ST
EAST HARTFORD, CT 06108
Capitol Planning Region (860) 282-8510
SAMUEL BERKOWITZ DPM
Podiatrist
99 ASH ST
EAST HARTFORD, CT 06108
Capitol Planning Region (860) 679-6600
STATE OF CONNECTICUT
Durable Medical Equipment & Medical Supplies
99 ASH ST
EAST HARTFORD, CT 06108
Capitol Planning Region (860) 679-7503
DR. LATESHA I DAWSON THOMAS M.D.
Pediatrics
99 ASH ST, UCONN MEDICAL GROUP-PEDIATRICS
EAST HARTFORD, CT 06108
Capitol Planning Region (860) 282-3859
LARRY SCHERZER
Pediatrics
99 ASH ST
EAST HARTFORD, CT 06108
Capitol Planning Region (860) 282-3859

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eugene Fantl's NPI number?

The NPI number for Eugene Fantl is 1255337465. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Eugene Fantl located?

Eugene Fantl practices at 99 Ash St, East Hartford, CT 06108. The listed phone number is (860) 282-3859.

What is Eugene Fantl's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Eugene Fantl was last updated on July 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.