Individual
EVGENY SHKOLNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
267 GRANT STREET, BRIDGEPORT HOSPITAL INTERNAL MEDICINE RESIDENCY PROGRAM, BRIDGEPORT, CT 06610
(203) 384-3792
(203) 384-4294
Mailing address
267 GRANT STREET, BRIDGEPORT, CT 06610-2805
(203) 384-4677
(203) 384-3135
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
64281
CT
208M00000X
Hospitalist Physician
64281
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2016
Last updated
04/28/2022
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