Fairfield County Medical Group, PC

NPI #1639195415 in Trumbull, Connecticut

Provider Information

NPI Number: 1639195415
Entity Type: Organization
Organization Name: Fairfield County Medical Group, PC
Primary Specialty: Internal Medicine
Enumeration Date: Jul 14, 2006
Last Updated: Apr 20, 2008

Practice Location

Address: 15 CORPORATE DR
Address 2: SUITE 2-1
City: Trumbull
State: Connecticut
ZIP Code: 06611-1351
Phone: (203) 459-5100

Authorized Official

Name: FRANK SPANO, M.D.
Title: PRESIDENT
Phone: (203) 459-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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