Individual
JOSEPH FREDERICK FICKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 MERWINS LN, FAIRFIELD, CT 06824-1972
(203) 319-0733
(203) 319-0733
Mailing address
51 MERWINS LN, FAIRFIELD, CT 06824-1972
(203) 259-6878
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
032484
CT
2084P0800X
Psychiatry Physician
Primary
032484
CT
2084P0805X
Geriatric Psychiatry Physician
032484
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001324847
—
CT
Enumeration date
07/07/2006
Last updated
05/04/2011
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