| Endocrinology Asscociates Of Southern Ct, Llc | |
|
3715 Main St Bridgeport CT 06606-3611 | |
| (203) 372-4636 | |
| (203) 372-4188 |
| Full Name | Endocrinology Asscociates Of Southern Ct, Llc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 3715 Main St, Bridgeport, Connecticut |
| Authorized Official Name and Position | Michael Duben (OWNER) |
| Authorized Official Contact | 2033724636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrinology Asscociates Of Southern Ct, Llc 3715 Main St Bridgeport CT 06606-3618 Ph: (203) 372-4636 | Endocrinology Asscociates Of Southern Ct, Llc 3715 Main St Bridgeport CT 06606-3611 Ph: (203) 372-4636 |
| NPI Number | 1760679054 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 09/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760679054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 041464 (Connecticut) | Primary |
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