Individual
DR. JAMES STEPHEN FARRELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-6000
Mailing address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-6000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
65045
CT
2086S0102X
Surgical Critical Care Physician
65045
CT
2086S0127X
Trauma Surgery Physician
65045
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2013
Last updated
05/26/2021
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