INFECTIOUS DISEASE SPECIALISTS OF CONNECTICUT, LLC


Address: 2660 Main St, Suite 221, Bridgeport, CT 06606-5369
Phone: 2036591599

INFECTIOUS DISEASE SPECIALISTS OF CONNECTICUT, LLC (NPI# 1336374339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336374339
Entity Type Organization
Organization Name INFECTIOUS DISEASE SPECIALISTS OF CONNECTICUT, LLC
Practice Address 2660 Main St
Suite 221
Bridgeport
CT 06606-5369
Mailing Address Po Box 312
Monroe
CT 06468
Practice Telephone 2036591599
Practice Fax Number 2036591599
Mailing Telephone 2036591599
Mailing Fax Number 2036591599
Enumeration Date 2009-05-19
Last Update Date 2009-05-21
Authorized Official Name GRACE P. KIM (MEMBER)
Authorized Official Telephone 2036591599
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0200X Internal Medicine
Specialization: Infectious Disease
031353 CT Allopathic & Osteopathic Physicians

Office Location

Street Address 2660 MAIN ST
SUITE 221
City BRIDGEPORT
State CT
Zip Code 06606-5369

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699771683 Steven Almour Hirshorn Colon & Rectal Surgery 2660 Main St, Ste 302, Bridgeport, CT 06606-5301 2005-06-23
1508206574 Christina Abavana Internal Medicine 2660 Main St, Bridgeport, CT 06606-5369 2013-07-04
1023321106 Payal Jain Dentist 2660 Main St, # 217, Bridgeport, CT 06606-5362 2010-07-19
1720318272 A Plus Dental Care Dentist 2660 Main St, Suite 217, Bridgeport, CT 06606-5369 2010-01-06
1639309040 Kimberly Simons Murphy Occupational Therapist 2660 Main St, Suite 309, Bridgeport, CT 06606-5369 2009-07-20
1811167364 Accumedica, LLC Internal Medicine 2660 Main St, Suite 219, Bridgeport, CT 06606-5369 2008-03-11
1366610925 A1 Dentalcare Dentist 2660 Main St, Suite 217, Bridgeport, CT 06606-5369 2008-02-18
1962683219 Lusitana Healthcare, LLC. Clinic/Center 2660 Main St, Suite 205, Bridgeport, CT 06606-5369 2007-11-15
1033305008 Robert D. Russo, Md & Associates Radiology, PC Clinic/Center 2660 Main St, Bridgeport, CT 06606-5369 2007-09-24
1043417983 Robert D. Russo, Md & Associates Radiology, PC Clinic/Center 2660 Main St, Bridgeport, CT 06606-5369 2007-07-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962023408 Madeline Acquilano Pharmacist 2800 East Main St, Bridgeport, CT 06606 2020-05-06
1578192001 Karin Alexandra Skalina Student in an Organized Health Care Education/Training Program 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 2020-04-06
1720641293 Valeriia Klymenko Student in an Organized Health Care Education/Training Program 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 2019-04-19
1821579996 Ashley Liese Nurse Practitioner Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 2018-08-27
1699261289 Gema Estefania Giler-sacoto Student in an Organized Health Care Education/Training Program St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 2018-07-06
1114418365 Jona Bumci Physician Assistant 3180 Main St Ste 304, Bridgeport, CT 06606 2018-05-23
1023471299 Qmg4, LLC Family Medicine 4200 Main Street, Bridgeport, CT 06606 2016-04-04
1861867442 Marie Dorothea Lisieski Social Worker 2400 Main Street, Bridgeport, CT 06606 2015-12-08
1548603384 Gerald E. Hedley Internal Medicine 390 Charles Street Unit #101, Bridgeport, CT 06606 2013-04-11
1487997581 Gerald Micalizzi, M.d., LLC Radiology 558 Fairview Avenue, Bridgeport, CT 06606 2013-03-27
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Taxonomy Information

Taxonomy Code 207RI0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Infectious Disease

Taxonomy Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114491792 Mountainstate Infectious Disease, Pllc Internal Medicine 215 W Main St Ste B, Bridgeport, WV 26330-1888 2019-01-16
1174778583 Badiaa El-imad Internal Medicine 527 Medical Park Dr Ste 204, Bridgeport, WV 26330-9009 2008-11-26
1639124159 Dino James Delaportas Internal Medicine 11 Point of Vw, Bridgeport, WV 26330 2006-05-23
1720036700 Grace P Kim Internal Medicine 4699 Main St Ste 201, Bridgeport, CT 06606-1830 2006-05-04
1962912808 United Hospital Center, Inc. Internal Medicine 527 Medical Park Dr Ste 302, Bridgeport, WV 26330-9009 2017-10-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336768944 Michael William Dunne Internal Medicine 30 Cromwell Pl, Old Saybrook, CT 06475-2512 2020-04-14
1548673627 Scott Roberts Internal Medicine 789 Howard Ave # 3, New Haven, CT 06519-1304 2014-06-06
1568702629 Infectious Disease Consultancy, LLC Internal Medicine 9 Hickory Ln, Woodbridge, CT 06525-1433 2013-02-26
1730443698 Roger Madison Echols Internal Medicine 753 Westport Rd, Easton, CT 06612-1535 2012-06-26
1750642930 Daniel Alfred Scott Internal Medicine 63 Ridgecrest Dr, Ridgefield, CT 06877-2534 2012-06-04
1972861896 Peter J Piliero Internal Medicine 625 Patriot Rd, Southbury, CT 06488-3223 2012-04-28
1710243167 Robert Gordon Douglas Jr. Internal Medicine 265 Old Black Point Rd, Niantic, CT 06357-3732 2012-04-10
1780979526 Marwan Azar Internal Medicine 300 Cedar St # S169, New Haven, CT 06519-1612 2011-06-09
1730415928 Stephanie Green Internal Medicine 54 Meadow St Fl 1, New Haven, CT 06519-1719 2009-10-23
1811129463 Jeanne Demars Breen Internal Medicine 229 Hidden Cove Rd, Old Saybrook, CT 06475-1620 2009-08-17
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Competitor

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City BRIDGEPORT
Zip Code 06606

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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