Individual
DR. KENNETH C FINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 JEFFERSON ST, FAIRFIELD, CT 06825
(203) 365-6473
(203) 396-1039
Mailing address
175 JEFFERSON ST, FAIRFIELD, CT 06825
(203) 365-6473
(203) 396-1039
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035081
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00390354
—
NY
Enumeration date
10/05/2006
Last updated
08/10/2012
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