Provider Demographics
NPI:1356549018
Name:FABBRI, REMO JR (MD)
Entity type:Individual
Prefix:DR
First Name:REMO
Middle Name:
Last Name:FABBRI
Suffix:JR
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:32 TRUMBULL ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-6310
Mailing Address - Country:US
Mailing Address - Phone:203-787-4589
Mailing Address - Fax:203-248-4878
Practice Address - Street 1:32 TRUMBULL ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-6310
Practice Address - Country:US
Practice Address - Phone:203-787-4589
Practice Address - Fax:203-248-4878
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-04
Last Update Date:2025-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT13-4062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTB84159Medicare UPIN