Individual
EUGENE H LEWIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2800 MAIN ST, ST. VINCENT'S MEDICAL CENTER, DEPT. OF PATHOLOGY, BRIDGEPORT, CT 06606-4201
(203) 576-5033
Mailing address
2800 MAIN ST, ST. VINCENT'S MEDICAL CENTER, DEPT. OF PATHOLOGY, BRIDGEPORT, CT 06606-4201
(203) 576-5033
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
043185
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001431858
—
CT
Enumeration date
04/17/2006
Last updated
02/19/2010
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