Kenneth Fine (NPI# 1063508349, PAC ID# 5395743140) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1063508349 |
| PAC ID by PECOS | 5395743140 |
| Professional Enrollment ID | I20061110000169 |
| Full Name | Kenneth Fine |
| Organization Legal Name | GERIATRIC PROFESSIONAL GROUP LLC |
| Address |
4200 Park Ave Bridgeport CT 06604-1049 |
| Phone Number | 2033656473 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1970 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8628973112 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070010 | BRIDGEPORT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4200 Park Ave, Bridgeport, CT 06604-1049 | 2033656473 | GERIATRIC PROFESSIONAL GROUP LLC |
| Organization Legal Name | GERIATRIC PROFESSIONAL GROUP LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vittoria G Gassman | Internal Medicine | Geriatric Professional Group LLC | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Pamela B Hoffman | Internal Medicine | Geriatric Professional Group LLC | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Street Address |
4200 PARK AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip | 06604-1049 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vittoria G Gassman | Internal Medicine | Geriatric Professional Group LLC | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Maxine L Walsh | Occupational Therapy | Jewish Home for The Elderly of Fairfield County Incorporated | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Pamela B Hoffman | Internal Medicine | Geriatric Professional Group LLC | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Caitlin R Conway | Physical Therapy | Jewish Home for The Elderly of Fairfield County Incorporated | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Lynda K Catuccio | Physical Therapy | Jewish Home for The Elderly of Fairfield County Incorporated | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Helen S Karchere | Physical Therapy | Jewish Home for The Elderly of Fairfield County Incorporated | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Rachel M Triplett | Physical Therapy | Jewish Home for The Elderly of Fairfield County Incorporated | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Sheila T Watts | Physical Therapy | Jewish Home for The Elderly of Fairfield County Incorporated | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Susan M Roth | Qualified Speech Language Pathologist | Jewish Home for The Elderly of Fairfield County Incorporated | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Kristin Copeland | Physical Therapy | Jewish Home for The Elderly of Fairfield County Incorporated | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie F Marotto | Qualified Audiologist | 4000 Park Ave, Bridgeport, CT 06604-1047 | |
| John W Feiler | Occupational Therapy | Jewish Home for The Elderly of Fairfield County Incorporated | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Sarah A Kanarek | Occupational Therapy | Jewish Home for The Elderly of Fairfield County Incorporated | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Alesha J Mcgivney | Occupational Therapy | Jewish Home for The Elderly of Fairfield County Incorporated | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Claudia Abreu | Occupational Therapy | Jewish Home for The Elderly of Fairfield County Incorporated | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Kimberly S Misiaszek | Physical Therapy | Jewish Home for The Elderly of Fairfield County Incorporated | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Jaclyn W Bellaby | Speech Language Pathologist | Jewish Home for The Elderly of Fairfield County Incorporated | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Jessica L Zager | Physical Therapy | Jewish Home for The Elderly of Fairfield County Incorporated | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Sara J Stanhewicz | Occupational Therapy | Jewish Home for The Elderly of Fairfield County Incorporated | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Heather M Powell | Physical Therapy | Jewish Home for The Elderly of Fairfield County Incorporated | 4200 Park Ave, Bridgeport, CT 06604-1049 |
| Find all physicians in zip 06604 | |||
| City | BRIDGEPORT |
| Zip Code | 06604 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BRIDGEPORT + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kenneth Fine.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.