Organization
ASSOCIATED NEUROLOGISTS OF SOUTHERN CONNECTICUT, P.C.
Active
Organization
ASSOCIATED NEUROLOGISTS OF SOUTHERN CONNECTICUT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH COLEMAN SIEGEL M.D. (PRESIDENT)
(203) 333-1133
Entity
Organization
Contact information
Practice address
75 KINGS HIGHWAY CUTOFF, 5TH FLOOR, FAIRFIELD, CT 06824-5340
(203) 333-1133
(203) 333-3937
Mailing address
75 KINGS HIGHWAY CUTOFF, 5TH FLOOR, FAIRFIELD, CT 06824-5340
(203) 333-1133
(203) 333-3937
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
CT
2084N0400X
Neurology Physician
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4081999
—
CT
Enumeration date
09/30/2005
Last updated
08/01/2008
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