Individual
BRIAN N KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 KINGS HWY E, SUITE 112, FAIRFIELD, CT 06825-4867
(203) 382-1900
(203) 382-0019
Mailing address
501 KINGS HWY E, SUITE 112, FAIRFIELD, CT 06825-4867
(203) 382-1900
(203) 382-0019
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
047749
CT
2086S0129X
Vascular Surgery Physician
243360
NY
390200000X
Student in an Organized Health Care Education/Training Program
0101233575
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008003815
—
CT
Enumeration date
06/07/2007
Last updated
11/17/2010
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