Individual
EDWIN FIERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
580 COTTAGE GROVE RD, SUITE 107, BLOOMFIELD, CT 06002-3088
(860) 243-8709
(860) 243-8259
Mailing address
580 COTTAGE GROVE RD, SUITE 107, BLOOMFIELD, CT 06002-3088
(860) 243-8709
(860) 243-8259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
018957
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001189570
—
CT
01
—
010018957CT01
ANTHEM BLUE SHIELD
CT
01
—
0V4803
HEALTHNET
—
01
—
110183892
RAILROAD MEDICARE
CT
Enumeration date
07/26/2006
Last updated
06/22/2021
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