Emergency Medicine Physicians Of Fairfield County, Llc

LBN: Emergency Medicine Physicians Of Fairfield County, Llc
Emergency Medicine Physicians Of Fairfield County, Llc is an health care organization with primary practice located at 30 Shelburne Rd , Stamford CT 06902-3628. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Emergency Medicine Physicians Of Fairfield County, Llc can be contacted via phone (330) 493-4443, or through Packo, David C via phone (330) 493-4443.

Contact Information

Primary practice address
30 Shelburne Rd Stamford CT 06902-3628
Phone: (330) 493-4443
Fax: (330) 493-8677
Website:
Map and Directions
Authorized official contact:
Name: Packo, David C Doctor of Medicine (MD)
Phone: (330) 493-4443

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X

Profile Details

NPI number 1689614109
LBN Legal business name Emergency Medicine Physicians Of Fairfield County, Llc
DBA Doing business as
Authorized official Packo, David C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2006
Last updated Jun 25th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689614109 NPPES
Connecticut MEDICAID 004225141
Connecticut MEDICAID 02324707
Connecticut MEDICAID 8902500

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