| Endocrinology Of Fairfield County, Llc | |
|
134 Round Hill Rd Fairfield CT 06824-5166 | |
| (203) 872-4560 | |
| Not Available |
| Full Name | Endocrinology Of Fairfield County, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 134 Round Hill Rd, Fairfield, Connecticut |
| Authorized Official Name and Position | Michael Duben (OWNER) |
| Authorized Official Contact | 2038724560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrinology Of Fairfield County, Llc 346 Stanwich Rd Greenwich CT 06830-3530 Ph: (203) 872-4560 | Endocrinology Of Fairfield County, Llc 134 Round Hill Rd Fairfield CT 06824-5166 Ph: (203) 872-4560 |
| NPI Number | 1841652641 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 04/01/2016 |
| Medicare PECOS PAC ID | 4385933159 |
|---|---|
| Medicare Enrollment ID | O20160518000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841652641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Michael Duben |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972523959 PECOS PAC ID: 4688616576 Enrollment ID: I20131010000877 |
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