| Doctor Name: | LEWIS M BADER |
| NPI Number: | 1033115910 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 015987 |
| Business Practice Address: | 2660 Main St Suite 103 Bridgeport, CT - 066065369 |
| Business Phone Number: | 2036834540 |
| Business Fax Number: | 2039261415 |
| Mailing Address: | Po Box 6128, BRIDGEPORT |
| State: | CT |
| Postal Code: | 066060128 |
| Phone Number: | 2036834500 |
| Fax Number: | 2039261410 |
| NPI Enumeration Date: | 06/24/2005 |
| NPI Last Update Date: | 01/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 015987 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |