Organization
FAIRFIELD MEDICAL MANAGEMENT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHIAS V RALABATE (MEMBER)
(203) 633-4560
Entity
Organization
Contact information
Practice address
2890 MAIN ST STE 2A, STRATFORD, CT 06614-4980
(203) 633-4560
Mailing address
2890 MAIN ST STE 2A, STRATFORD, CT 06614-4980
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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