Organization
PEQUOT MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN H TSANG MD (MD)
(203) 576-5435
Entity
Organization
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-5435
(203) 373-9414
Mailing address
115 TECHNOLOGY DR, C-100, TRUMBULL, CT 06611-6337
(203) 268-5212
(203) 268-6779
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/24/2006
Last updated
07/10/2007
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