# FAIRFIELD CLINICAL SERVICES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073271664
- **Authorized official:** LAKSHMANA PUDIPEDDI PHARMD (OWNER/AUTHORIZED USER)
- **Authorized official phone:** (203) 305-6109

## Contact information

- **Practice address:** 978 E MAIN ST, BRIDGEPORT, CT 06608-1913
- **Practice address phone:** (203) 549-1872
- **Mailing address:** 978 E MAIN ST, BRIDGEPORT, CT 06608-1913
- **Mailing address phone:** (203) 549-1872

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/01/2021
- **Last updated:** 12/01/2021