Provider Demographics
NPI:1477583540
Name:FABREGAS, GERALDINE M (MD)
Entity Type:Individual
Prefix:DR
First Name:GERALDINE
Middle Name:M
Last Name:FABREGAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 ALDEN AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06515-2114
Mailing Address - Country:US
Mailing Address - Phone:203-387-7719
Mailing Address - Fax:203-397-5152
Practice Address - Street 1:280 ALDEN AVE
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06515-2114
Practice Address - Country:US
Practice Address - Phone:203-387-7719
Practice Address - Fax:203-397-5152
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT038166207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTP01123961OtherRRMC
CT1477583540OtherMULTIPLAN
CT1477583540OtherAETNA
CT1477583540OtherTRICARE
CT1477583540OtherANTHEM
CT1477583540OtherHEALTHY CT
CT001381665Medicaid
CT436540OtherWELLCARE
CT5013136OtherCIGNA
CT1477583540OtherCONNECTICARE
CT1477583540OtherUNITED HEALTHCARE
CTAA398246OtherHARVARD PILGRIM
CTP01123961OtherRRMC