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Contact Information

MEDICAL SPECIALISTS OF FAIRFIELD, LLC
2800 MAIN ST
3RD FLR
BRIDGEPORT, CT06606-4201
 Phone: 203-382-2475
 Fax: 203-382-2488
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for MEDICAL SPECIALISTS OF FAIRFIELD LLC · (Female)

NPI Number 1700864097
Status Active
Credentials
Entity Individual
Enumeration date 01/06/2006
Last updated 04/16/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT Medicaid 004082666
  • CT Other 010013862CT01 BCBS CT
  • CT Other 104363800 DEPT OF LABOR
  • NY Other S2G58 BCBS NY
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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