Doctor Name: | BRIAN N KING |
NPI Number: | 1841493913 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 0101233575 |
Business Practice Address: | 501 Kings Hwy E Suite 112 Fairfield, CT - 068254867 |
Business Phone Number: | 2033821900 |
Business Fax Number: | 2033820019 |
Mailing Address: | 501 Kings Hwy E, Suite 112 FAIRFIELD |
State: | CT |
Postal Code: | 068254867 |
Phone Number: | 2033821900 |
Fax Number: | 2033820019 |
NPI Enumeration Date: | 06/07/2007 |
NPI Last Update Date: | 11/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 0101233575 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |