NPI 1003849423

Fairfield County Internal Medicine and Gastroenterology Associates PC

Organisation Specialist Bridgeport, CT

Practice location

Address: 4641 Main St STE 1, Bridgeport, CT 06606-1827
Phone: (203) 374-4966
Fax: (203) 371-7024

Authorised official

Name: Alan M Nelson
Title: President
Phone: (203) 374-4966

Registered specialties (4)

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 014919 (CT)

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Registry record

NPI: 1003849423
Entity type: Organization
NPI issued: 9 Jul 2006
Record last updated: 27 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.