NPI 1073271664

Fairfield Clinical Services LLC

Organisation Family Medicine Physician Bridgeport, CT

Practice location

Address: 978 E Main St, Bridgeport, CT 06608-1913
Phone: (203) 549-1872

Authorised official

Name: Lakshmana Pudipeddi
Title: Owner/Authorized User
Phone: (203) 305-6109

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Connecticut →

Registry record

NPI: 1073271664
Entity type: Organization
NPI issued: 1 Dec 2021
Record last updated: 1 Dec 2021

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.