07D0711156 CLIA NUMBER - PHILIP SIMKOVITZ MD

Laboratory Demographics

CLIA Number: 07D0711156

Facility Name: PHILIP SIMKOVITZ MD

Facility Address:
5520 PARK AVENUE SUITE 202
TRUMBULL, CT
ZIP 06611
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Facility Phone Number: 203 365-0577

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1346358744

Taxonomy: 207RC0200X - Internal Medicine
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

CLIA Record

Field Name	Field Value
CLIA Number	07D0711156
LAB Type	Physician Office
Facility Name	PHILIP SIMKOVITZ MD
Street	5520 PARK AVENUE SUITE 202
City	TRUMBULL
State	CT
ZIP	06611
Phone	203 365-0577
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024