| Fairfield Family Physicians,llc | |
|
2184 Main St Stratford CT 06615-5937 | |
| (203) 378-9002 | |
| (203) 375-0336 |
| Full Name | Fairfield Family Physicians,llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2184 Main St, Stratford, Connecticut |
| Authorized Official Name and Position | Lee Jon Forest (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2033789002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfield Family Physicians,llc 2184 Main St Stratford CT 06615-5937 Ph: (203) 378-9002 | Fairfield Family Physicians,llc 2184 Main St Stratford CT 06615-5937 Ph: (203) 378-9002 |
| NPI Number | 1497915359 |
|---|---|
| Provider Enumeration Date | 06/13/2008 |
| Last Update Date | 01/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497915359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 039202 (Connecticut) | Primary |
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