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Contact Information

LEWIS M BADER, MD
2660 MAIN ST
SUITE 103
BRIDGEPORT, CT06606-5369
 Phone: 203-683-4540
 Fax: 203-926-1415
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for LEWIS M BADER · (Male)

NPI Number 1033115910
Status Active
Credentials MD
Entity Individual
Enumeration date 06/24/2005
Last updated 01/07/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 015987
  • CT Medicaid 001159870
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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