Organization
NORTHEAST MEDICAL GROUP, INC.
Active
Parent organization
NORTHEAST MEDICAL GROUP, INC
Other names
Fairfield County Sleep Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHEAST MEDICAL GROUP, INC
Authorized official
KATHLEEN TESTANI (SENIOR MANAGER)
(203) 336-7353
Entity
Organization
Contact information
Practice address
501 KINGS HWY E, SUITE 105, FAIRFIELD, CT 06825-4867
(203) 610-8745
(203) 610-8746
Mailing address
3 ENTERPRISE DR, SUITE 404, SHELTON, CT 06484-4694
(203) 944-1940
(203) 402-4196
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
08/13/2015
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