Organization
ALEJANDRO E ISGUT MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRO E ISGUT MD (OWNER)
(203) 270-1077
Entity
Organization
Contact information
Practice address
153 S MAIN ST, NEWTOWN, CT 06470-2791
(203) 270-1077
Mailing address
153 S MAIN ST, NEWTOWN, CT 06470-2791
(203) 270-1077
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
016010
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080000822
MEDICARE ID
—
01
—
1144287913
INDIVIDUAL NPI
CT
01
—
14950
CDS
CT
Enumeration date
08/19/2014
Last updated
03/07/2023
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