Organization Name: | FAIRFIELD COUNTY INTERNAL MEDICINE & G.I. ASSOCIATES |
NPI Number: | 1003849423 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD J LINK (PRESIDENT) |
Mailing Address: | 4641 Main St Ste 1 Bridgeport |
State: | CT US |
Postal Code: | 066061827 |
Phone Number: | 2033744966 |
Fax Number: | 2033717024 |
NPI Enumeration Date: | 07/09/2006 |
NPI Last Update Date: | 10/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 015081 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |