Abidor, Gerard

Abidor, Gerard is an sole proprietor health care provider with primary practice located at 968 Fairfield Ave , Bridgeport CT 06605-1116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Abidor, Gerard can be contacted via phone (203) 330-6000.

Contact Information

Primary practice address
968 Fairfield Ave Bridgeport CT 06605-1116
Fax: (203) 382-9425
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 038856 Connecticut

Profile Details

NPI number 1518014539
LBN Legal business name Abidor, Gerard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Jul 25th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518014539 NPPES
Connecticut MEDICAID 001388562

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