Provider Demographics
NPI:1396766440
Name:FIGNAR, TIMOTHY ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:ALAN
Last Name:FIGNAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:15 PALOMBA DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-3888
Mailing Address - Country:US
Mailing Address - Phone:860-745-1623
Mailing Address - Fax:860-741-3618
Practice Address - Street 1:15 PALOMBA DR
Practice Address - Street 2:SUITE 5
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-3888
Practice Address - Country:US
Practice Address - Phone:860-745-1623
Practice Address - Fax:860-741-3618
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT040711207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H83514Medicare UPIN