Individual
DR. JONATHAN FINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 855-3543
Mailing address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 855-3543
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
030304
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
030304
CT
207RP1001X
Pulmonary Disease Physician
Primary
030304
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001303049
—
CT
01
—
010030304CT01
ANTHEM B/C
CT
01
—
0375192
CIGNA
CT
01
—
0Z5525
HEALTHNET
CT
01
—
1326019340
UHC
CT
01
—
303040
CONNECTICARE
CT
01
—
5969121
AETNA
CT
01
—
E35363
UPIN
—
01
—
ZS442
OXFORD
CT
Enumeration date
01/28/2006
Last updated
04/29/2014
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