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Organization
MEDICAL SPECIALISTS OF FAIRFIELD, LLC
Active
Organization
MEDICAL SPECIALISTS OF FAIRFIELD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN REZNIKOFF MD (MANAGING PARTNER)
(203) 255-4545
Entity
Organization
Contact information
Practice address
425 POST RD, SOUTH LOBBY, FAIRFIELD, CT 06824-6232
(203) 255-4545
(203) 254-1191
Mailing address
425 POST RD, SOUTH LOBBY, FAIRFIELD, CT 06824-6232
(203) 255-4545
(203) 254-1191
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/18/2006
Last updated
04/16/2014
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