Individual
KEVIN B PANZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1381 RESERVOIR AVE., BRIDGEPORT, CT 06606
(203) 371-5197
Mailing address
1290 POST ROAD, #117, FAIRFIELD, CT 06824
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
030582
CT
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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