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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

NPI # 1700864097
LBN Legal business name MEDICAL SPECIALISTS OF FAIRFIELD, LLC
Authorized official GLEN REZNIKOFF - (MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/06/2006
Last updated 04/16/2014 - About 12 years ago
Identifiers
CT Medicaid 004082666
CT Other 010013862CT01 BCBS CT
CT Other 104363800 DEPT OF LABOR
NY Other S2G58 BCBS NY
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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