FAIRFIELD COUNTY INTERNAL MEDICINE AND GASTROENTEROLOGY ASSOCIATES PC NPI 1003849423

NPI Information

FAIRFIELD COUNTY INTERNAL MEDICINE AND GASTROENTEROLOGY ASSOCIATES PC is a specialist in Bridgeport, CT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FAIRFIELD COUNTY INTERNAL MEDICINE AND GASTROENTEROLOGY ASSOCIATES PC NPI is 1003849423. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4641 MAIN ST STE 1
BRIDGEPORT, CT
ZIP 06606-827
Phone: (203) 374-4966
Fax: (203) 371-7024

The provider's authorized official is Alan M Nelson .
The authorized official title is President and has the following contact phone number (203) 374-4966.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 3/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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