Fairfield County Medical Group, Pc

LBN: Fairfield County Medical Group, Pc
Fairfield County Medical Group, Pc is an health care organization with primary practice located at 15 Corporate Dr Suite 2-1, Trumbull CT 06611-1351. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Fairfield County Medical Group, Pc can be contacted via phone (203) 459-5100, or through Spano, Frank via phone (203) 459-5100.

Contact Information

Primary practice address
15 Corporate Dr Suite 2-1 Trumbull CT 06611-1351
Fax: (203) 452-2424
Website:
Authorized official contact:
Name: Spano, Frank Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 028987 Connecticut

Profile Details

NPI number 1639195415
LBN Legal business name Fairfield County Medical Group, Pc
DBA Doing business as
Authorized official Spano, Frank Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2006
Last updated Apr 20th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639195415 NPPES
Connecticut Other C12675 RAILROAD MEDICARE PTAN
Connecticut Other 50FFLDCMGCT01 RAILROAD MEDICARE PTAN

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