Organization
FAIRFIELD COUNTY INTERNAL MEDICINE AND GASTROENTEROLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN M NELSON M.D. (PRESIDENT)
(203) 374-4966
Entity
Organization
Contact information
Practice address
4641 MAIN ST STE 1, BRIDGEPORT, CT 06606-1827
(203) 374-4966
(203) 371-7024
Mailing address
4641 MAIN ST STE 1, BRIDGEPORT, CT 06606-1827
(203) 374-4966
(203) 365-6637
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
014919
CT
174400000X
Specialist
015081
CT
174400000X
Specialist
019537
CT
174400000X
Specialist
043139
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001149194
—
CT
05
—
001150812
—
CT
05
—
001195379
—
CT
05
—
001431395
—
CT
Enumeration date
07/09/2006
Last updated
03/27/2018
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