# FAIRFIELD COUNTY PRIMARY CARE, PC

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

## Provider details

- **NPI number:** 1356670731
- **Authorized official:** JOHN RODIS MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (203) 372-1900

## Contact information

- **Practice address:** 345 MAIN AVE, NORWALK, CT 06851-1547
- **Practice address phone:** (203) 849-7777
- **Practice address fax:** (203) 846-4477
- **Mailing address:** 345 MAIN AVE, NORWALK, CT 06851-1547
- **Mailing address phone:** (203) 849-7777
- **Mailing address fax:** (203) 846-4477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 12/15/2009
- **Last updated:** 12/15/2009