Fecteau, Scott Ryan

Fecteau, Scott Ryan is an individual health care provider with primary practice located at 1000 Asylum Ave Suite 2120, Hartford CT 06105. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Fecteau, Scott Ryan can be contacted via phone (860) 246-4000.

Contact Information

Primary practice address
1000 Asylum Ave Suite 2120 Hartford CT 06105
Phone: (860) 246-4000
Fax: (860) 527-6985
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 037116 Connecticut
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 88373 South Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 037116 Connecticut

Profile Details

NPI number 1376582445
LBN Legal business name Fecteau, Scott Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Aug 2nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376582445 NPPES
Connecticut MEDICAID 001371161

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