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ENDOCRINOLOGY ASSCOCIATES OF SOUTHERN CT LLC NPI 1760679054


NPI Information

NPI: 1760679054
Provider Name: ENDOCRINOLOGY ASSCOCIATES OF SOUTHERN CT, LLC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
3715 MAIN ST
BRIDGEPORT, CT
ZIP 06606
Phone: (203) 372-4636
Get Directions

ENDOCRINOLOGY ASSCOCIATES OF SOUTHERN CT, LLC is an endocrinology and diabetes and metabolism internal medicine in Bridgeport, CT. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. ENDOCRINOLOGY ASSCOCIATES OF SOUTHERN CT, LLC NPI is 1760679054. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3715 MAIN ST
BRIDGEPORT, CT
ZIP 06606-611
Phone: (203) 372-4636
Fax: (203) 372-4188

The provider's authorized official is Michael Duben .
The authorized official title is Owner and has the following contact phone number (203) 372-4636.

The enumeration date for this NPI number is 10/1/2007 and was last updated on 9/29/2009.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism041464CONNECTICUTYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H19426MEDICARE UPINCONNECTICUT
2460000092MEDICARE PINCONNECTICUT
3C03391MEDICARE PINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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