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ADAM S FEDERMAN, MD – NPI #1275517294
Diagnostic Radiology

NPI Profile for ADAM S FEDERMAN in TRUMBULL, CT.

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Contact Information

ADAM S FEDERMAN, MD
56 QUARRY ROAD
56 QUARRY ROAD
TRUMBULL, CT  06611-1351
 Phone: 203-696-3672
 Fax: 203-696-6130
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

 2085R0202X 30 Physician/Diagnostic Radiology
 

Vascular & Interventional Radiology

 2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for ADAM S FEDERMAN · (Male)

NPI Number 1275517294
Status Active
Credentials MD
Entity Individual
Enumeration date 12/02/2005
Last updated 04/03/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 046746
  • CT Medicaid 500000187
  • NJ Medicaid 7953500
  • NY Medicaid 02950461
Hospital affiliation(s)
  • DAY KIMBALL HOSPITAL - (Acute Care)
    320 POMFRET STREET
    PUTNAM, CT 06260
  • GRIFFIN HOSPITAL - (Acute Care)
    130 DIVISION ST
    DERBY, CT 06418
  • HARTFORD HOSPITAL - (Acute Care)
    80 SEYMOUR STREET
    HARTFORD, CT 06102
  • MANCHESTER MEMORIAL HOSPITAL - (Acute Care)
    71 HAYNES ST
    MANCHESTER, CT 06040
  • WINDHAM COMM MEMORIAL HOSPITAL & HATCH HOSP - (Acute Care)
    112 MANSFIELD AVE
    WILLIMANTIC, CT 06226
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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