# WESTPORT FAMILY MEDICINE LLC

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

## Provider details

- **NPI number:** 1538104450
- **Authorized official:** STEVEN BENADERET M.D. (MEMBER)
- **Authorized official phone:** (203) 221-3030

## Contact information

- **Practice address:** 129 KINGS HWY N, WESTPORT, CT 06880-2438
- **Practice address phone:** (203) 221-3030
- **Practice address fax:** (203) 221-3131
- **Mailing address:** 129 KINGS HWY N, WESTPORT, CT 06880-2438
- **Mailing address phone:** (203) 221-3030
- **Mailing address fax:** (203) 221-3131

## Taxonomy

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

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 08/22/2020