JEFFREY N BERMAN MD (Credential# 160427) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JEFFREY N BERMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0020399. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 425 Post Road, Fairfield, CT 06824. The current status is active.
| Licensee Name | JEFFREY N BERMAN MD |
| Business Name | SAINT VINCENTS HOSPITAL |
| Credential ID | 160427 |
| Credential Number | CSP.0020399 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
425 Post Road Fairfield CT 06824 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 549970 | 1.032359 | Physician/Surgeon | 1992-06-19 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 425 Post Road |
| City | Fairfield |
| State | CT |
| Zip Code | 06824 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gena M Cobrin Md | 425 Post Road, Fairfield, CT 06824 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Edward A Duda | 425 Post Road, Fairfield, CT 06824 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Sandhya Dhanjal | 425 Post Road, Fairfield, CT 06824 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Strick J Woods Md | 425 Post Road, Fairfield, CT 06824 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Emil J Blanco | 425 Post Road, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Milton Cooper | 425 Post Road, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kenneth A Dressler | 425 Post Road, Fairfield, CT 06824 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy S Van Buren | 11 Larkspur Road, Fairfield, CT 06824 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Linda J Batchelder | 72 Ruane St, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Fairfield American Little League | 87 Charles St, Fairfield, CT 06824 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Robert D Sickeler | 175 Wakeman Rd, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael P Brennan | 338 Sturges Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Maria A Arduini | 499 Hemlock Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Ryan L Antisdale | 104 Rhoda Avenue, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Szymlinska Eva Jucelin | 105 Churchill Street, Fairfield, CT 06824 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Afoofa, Inc · Afoofa | 298 South Benson Road, Fairfield, CT 06824 | Public Charity-exempt From Financial Requirements | 2020-06-25 ~ |
| Rachel Finlaw | 2546 North Benson Road, Fairfield, CT 06824 | Master's Level Social Worker | ~ |
| Find all Licenses in zip 06824 | |||
| City | Fairfield |
| Zip Code | 06824 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Fairfield |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hyo-jeong Lee | St Vincents Hospital, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-28 |
| Sandra S Rao | St Vincents Hospital, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2008-02-29 ~ 2009-02-28 |
| Yung H Cho Md | St Vincents Hospital, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Mark J Gripp Md | St Vincents Hospital, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-28 |
| Brendan P Coleman Md | St Vincents Hospital, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-28 |
| Hartley M Sirkis Md | St Vincents Hospital, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-28 |
| Rajiv K Tangri Do | St Vincents Hospital, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Jeffrey M Stein · C/o Saint Marys Hospital | 32 Acorn Hill Road, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2018-07-17 |
| Ja-lynn Kuo | Saint Vincents Medical Center, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Olumayowa A Abe | Saint Vincents Medical Center, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).