Individual
ALAN M NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4641 MAIN ST STE 1, BRIDGEPORT, CT 06606-1827
(203) 374-4966
(203) 371-7024
Mailing address
4641 MAIN ST STE 1, BRIDGEPORT, CT 06606-1827
(203) 374-4966
(203) 371-7024
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
019537
CT
207R00000X
Internal Medicine Physician
Primary
019537
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001195379
—
CT
Enumeration date
07/17/2006
Last updated
12/06/2022
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