Organization
FAIRFIELD RADIATION ONCOLOGY LCC
Active
Organization
FAIRFIELD RADIATION ONCOLOGY LCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER M IANNUZZI M.D. (OWNER)
(203) 576-5085
Entity
Organization
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-5085
Mailing address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-5085
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB5061
RR MEDICARE
CT
Enumeration date
09/20/2006
Last updated
04/15/2008
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