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Organization
FAIRFIELD CLINICAL SERVICES LLC
Active
Organization
FAIRFIELD CLINICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKSHMANA PUDIPEDDI PHARMD (OWNER/AUTHORIZED USER)
(203) 305-6109
Entity
Organization
Contact information
Practice address
978 E MAIN ST, BRIDGEPORT, CT 06608-1913
(203) 549-1872
Mailing address
978 E MAIN ST, BRIDGEPORT, CT 06608-1913
(203) 549-1872
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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