Organization
CARDIOLOGY PHYSICIANS OF FAIRFIELD COUNTY LLC
Active
Organization
CARDIOLOGY PHYSICIANS OF FAIRFIELD COUNTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN GLECKLER (CFO)
(203) 576-5551
Entity
Organization
Contact information
Practice address
1177 SUMMER ST, STAMFORD, CT 06905-5572
(203) 353-1133
Mailing address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-5551
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/07/2012
Last updated
11/05/2013
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