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Contact Information

JEFFREY M KOFFLER, MD
39 GLENBROOK RD
1G
STAMFORD, CT06902-2968
 Phone: 203-323-2500
 Fax: 203-323-3003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for JEFFREY M KOFFLER · (Male)

NPI # 1255499513
Status Active
Credentials MD
Entity Individual
Enumeration date 12/05/2006
Last updated 03/29/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 021760
  • NY License # 137114
  • CT Medicaid 001217603
  • Other 56010021760CT1 BLUE CROSS BLUE SHIELD
  • Other 033247 MHN
  • Other P1082129 OXFORD HEALTH PLAN
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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