Organization
FAIRFIELD COUNTY SURGICAL SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RODIS MD (PRESIDENT)
(203) 276-7295
Entity
Organization
Contact information
Practice address
1351 WASHINGTON BLVD, 6TH FLOOR, STAMFORD, CT 06902-2419
(203) 276-5959
(203) 276-5969
Mailing address
1351 WASHINGTON BLVD, 6TH FLOOR, STAMFORD, CT 06902-2419
(203) 276-5959
(203) 276-5969
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004267763
—
CT
Enumeration date
02/28/2007
Last updated
09/21/2007
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