National Provider Identifier Database

MEDICAL SPECIALISTS OF FAIRFIELD LLC
Hematology & Oncology

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.


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
* Hematology & Oncology 207RH0003X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for MEDICAL SPECIALISTS OF FAIRFIELD, LLC

NPI Number 1700864097
Legal business name
LBN
MEDICAL SPECIALISTS OF FAIRFIELD, LLC
Authorized official GLEN REZNIKOFF - (MANAGING PARTNER)
Entity Organization
Organization subpart No
Enumeration date 01/06/2006
Last updated 04/16/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • CT Medicaid: 004082666
  • CT Other: 010013862CT01 BCBS CT
  • CT Other: 104363800 DEPT OF LABOR
  • NY Other: S2G58 BCBS NY

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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