Driesman, Mitchell H.
Driesman, Mitchell H. is an individual health care provider with primary practice located at 1305 Post Rd , Fairfield CT 06824-6016. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Driesman, Mitchell H. can be contacted via phone (203) 292-2000.Contact Information
Primary practice address
1305 Post Rd
Fairfield CT 06824-6016
Phone: (203) 292-2000
Fax: (203) 292-0832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 023377 | Connecticut |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 023377 | Connecticut |
Profile Details
| NPI number | 1578568382 |
|---|---|
| LBN Legal business name | Driesman, Mitchell H. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Jan 16th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578568382 | NPPES |
| Connecticut | MEDICAID | 001233774 |
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