Organization
PULMONARY & INTERNAL MEDICINE OF FAIRFIELD COUNTY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LANA WEISMAN (PRACTICE MANAGER)
(203) 374-2747
Entity
Organization
Contact information
Practice address
4699 MAIN ST, SUITE 209, BRIDGEPORT, CT 06606
(203) 374-2747
(203) 372-0204
Mailing address
4699 MAIN ST, SUITE 209, BRIDGEPORT, CT 06606-1830
(203) 374-2747
(203) 372-0204
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004141157
—
CT
Enumeration date
01/16/2007
Last updated
05/15/2018
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