Organization
TRUMBULL MEDICAL PRACTICE
Active
Organization
TRUMBULL MEDICAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A FLORES M.D. (MEDICAL DIRECTOR)
(203) 268-4884
Entity
Organization
Contact information
Practice address
115 TECHNOLOGY DR, A303, TRUMBULL, CT 06611-6337
(203) 268-4884
(203) 268-9371
Mailing address
115 TECHNOLOGY DR, A303, TRUMBULL, CT 06611-6337
(203) 268-4884
(203) 268-9371
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
038698
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00138698111
—
CT
01
—
010038698CT01
BCBS
CT
01
—
1541597
CIGNA
—
01
—
2338437
AETNA
CT
01
—
745874
CONNECTICARE
CT
01
—
OV7401
HEALTHNET
CT
Enumeration date
03/12/2007
Last updated
03/04/2008
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