NPI 1740519883

Dr. Jeffrey Small

Organisation Specialist Bridgeport, CT

Practice location

Address: 4695 Main St, Bridgeport, CT 06606-1802
Phone: (203) 372-4419
Fax: (203) 372-4919

Authorised official

Name: Jeffrey Daniel Small
Title: MD
Phone: (203) 372-4419

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence BS3578397 (CT)

Other Specialist providers in Connecticut →

Registry record

NPI: 1740519883
Entity type: Organization
NPI issued: 21 Dec 2009
Record last updated: 14 Jan 2010

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.