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Contact Information

JONATHAN J FILLMORE, MD
5520 PARK AVE
SUITE 306
TRUMBULL, CT06611-3463
 Phone: 203-373-7388
 Fax: 203-373-7472
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JONATHAN J FILLMORE · (Male)

NPI Number 1578592713
Status Active
Credentials MD
Entity Individual
Enumeration date 07/01/2006
Last updated 12/09/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 039461
Hospital affiliation(s)
  • SAINT MARYS HOSPITAL - (Acute Care)
    56 FRANKLIN ST
    WATERBURY, CT 06706
  • WATERBURY HOSPITAL - (Acute Care)
    64 ROBBINS ST
    WATERBURY, CT 06721
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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