Individual
JAY L. MEIZLISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1305 POST RD, FAIRFIELD, CT 06824-6016
(203) 292-2000
(203) 292-0832
Mailing address
1305 POST RD, FAIRFIELD, CT 06824-6016
(203) 292-2000
(203) 292-0832
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
022978
CT
207RI0011X
Interventional Cardiology Physician
Primary
022978
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001229780
—
CT
Enumeration date
06/17/2005
Last updated
01/15/2015
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