Individual
DR. JEFFREY MICHAEL KOFFLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39 GLENBROOK RD, 1G, STAMFORD, CT 06902-2968
(203) 323-2500
(203) 323-3003
Mailing address
39 GLENBROOK RD, 1G, STAMFORD, CT 06902-2968
(203) 323-2500
(203) 323-3003
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
021760
CT
2084P0804X
Child & Adolescent Psychiatry Physician
137114
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001217603
—
CT
01
—
033247
MHN
—
01
—
56010021760CT1
BLUE CROSS BLUE SHIELD
—
01
—
P1082129
OXFORD HEALTH PLAN
—
Enumeration date
12/05/2006
Last updated
03/29/2016
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