# JEFFREY A SIMPSON MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Faire Harbour OB/GYN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699767509
- **Authorized official:** DR. JEFFREY A SIMPSON MD (OWNER)
- **Authorized official phone:** (860) 444-6868

## Contact information

- **Practice address:** 345 MONTAUK AVE, NEW LONDON, CT 06320-4738
- **Practice address phone:** (860) 444-6868
- **Practice address fax:** (860) 437-0650
- **Mailing address:** 345 MONTAUK AVE, NEW LONDON, CT 06320-4738
- **Mailing address phone:** (860) 444-6868
- **Mailing address fax:** (860) 437-0650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 001146 | CT | Yes |

## Other

- **Enumeration date:** 08/17/2005
- **Last updated:** 01/13/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004248375 | — | CT |
| 05 | — | 00428367 | — | CT |
| 01 | — | 50SIMPSONCT01 | BLUE CROSS | — |