Individual
JEREMIAH JAMES LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
372 DANBURY RD STE 197, WILTON, CT 06897-2523
(203) 966-6305
(203) 966-4618
Mailing address
372 DANBURY RD STE 197, WILTON, CT 06897-2523
(203) 276-3366
(203) 276-3367
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
032895
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497747968
—
CT
Enumeration date
08/19/2005
Last updated
02/22/2021
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