ENDOCRINOLOGY ASSCOCIATES OF SOUTHERN CT, LLC (NPI# 1760679054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760679054 |
| Entity Type | Organization |
| Organization Name | ENDOCRINOLOGY ASSCOCIATES OF SOUTHERN CT, LLC |
| Practice Address |
3715 Main St Bridgeport CT 06606-3611 |
| Mailing Address |
3715 Main St Bridgeport CT 06606-3618 |
| Practice Telephone | 2033724636 |
| Practice Fax Number | 2033724188 |
| Mailing Telephone | 2033724636 |
| Mailing Fax Number | 2033724188 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2009-09-29 |
| Authorized Official Name | DR. MICHAEL DUBEN (OWNER) |
| Authorized Official Telephone | 2033724636 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
041464 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
3715 MAIN ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-3611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435309 | Anthony G Ciccaglione | Internal Medicine | 3715 Main St, Ste 408, Bridgeport, CT 06606-3611 | 2005-05-23 |
| 1821567744 | Muriel Maxwell Lcsw LLC | Counselor | 3715 Main St, Bridgeport, CT 06606-3618 | 2018-11-20 |
| 1881048080 | Bridgeport Braces, LLC | Dentist | 3715 Main St, Suite 100, Bridgeport, CT 06606-3618 | 2016-04-14 |
| 1750707808 | Oluwatosin Marriott | Counselor | 3715 Main St, Suite 406, Bridgeport, CT 06606-3618 | 2014-03-13 |
| 1760724678 | Robert D Markowitz | Dentist | 3715 Main St, Suite #303, Bridgeport, CT 06606-3618 | 2013-03-19 |
| 1033484043 | Merritt Dental LLC | Dentist | 3715 Main St, 409, Bridgeport, CT 06606-3618 | 2012-03-09 |
| 1174844922 | Houa Vang | Chiropractor | 3715 Main St, Suite 100, Bridgeport, CT 06606-3618 | 2010-06-16 |
| 1881910503 | Marianne Jensen | Behavioral Analyst | 3715 Main St, Suite 101, Bridgeport, CT 06606-3618 | 2010-04-20 |
| 1821223272 | Tremane M Bartley | Dentist | 3715 Main St, Suite 100, Bridgeport, CT 06606-3618 | 2009-05-28 |
| 1598941379 | Robert S. Smith | Durable Medical Equipment & Medical Supplies | 3715 Main St, #306, Bridgeport, CT 06606-3618 | 2008-01-11 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 06606 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467560326 | Jeremy B Soule | Internal Medicine | 16 Sterling Dr, Suite 102, Bridgeport, WV 26330-9132 | 2006-08-29 |
| 1255444766 | Timothy K Jackson | Internal Medicine | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2006-08-17 |
| 1811332166 | John Blake Epling | Internal Medicine | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2013-04-30 |
| 1659524635 | Advanced Diabetes & Endocrine Center | Internal Medicine | 527 Medical Park Drive, Suite 103, Bridgeport, WV 26330-9009 | 2008-11-04 |
| 1437314457 | Christos Paras | Internal Medicine | 2800 Main St, Bridgeport, CT 06606-4201 | 2008-07-21 |
| 1881709970 | Syed N Haq | Internal Medicine | 527 Medical Park Drive, Suite 103, Bridgeport, WV 26330-9009 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376103762 | Fairfield County Endocrine, LLC | Internal Medicine | 18 Sunnyside Ln, Westport, CT 06880-1710 | 2019-06-18 |
| 1013458447 | James Magner | Internal Medicine | 1022 Field Dr, Woodbridge, CT 06525-2638 | 2017-03-18 |
| 1952754400 | Paul Ryan Charles Sullivan | Internal Medicine | 1093 Prospect Ave, West Hartford, CT 06105-1104 | 2016-07-20 |
| 1740675818 | Vivek Alaigh | Internal Medicine | 29 Hospital Plz Ste 601, Stamford, CT 06902-3602 | 2015-04-05 |
| 1669801619 | Geetika Gupta | Internal Medicine | 1952 Whitney Ave Ste 14, Hamden, CT 06517-1209 | 2013-11-09 |
| 1134562911 | Lori Marie De La Portilla | Internal Medicine | 462 Queen St # 303, Southington, CT 06489-1801 | 2013-04-11 |
| 1346592862 | Kathleen Mary O'connell | Internal Medicine | 9 Stonecrop Ln, Wilton, CT 06897-2405 | 2012-10-08 |
| 1104159037 | Robert Aaron Levine | Internal Medicine | 137 Winthrop Rd, Guilford, CT 06437-1632 | 2009-09-10 |
| 1124209101 | Maryanne Horta Bhojwani | Internal Medicine | 112 Quarry Rd Ste 250, Trumbull, CT 06611-4877 | 2007-11-19 |
| 1366585762 | Ann E Taylor | Internal Medicine | Pfizer, Eastern Point Road, Groton, CT 06340 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
Please comment or provide details below to improve the information on ENDOCRINOLOGY ASSCOCIATES OF SOUTHERN CT, LLC.
| 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.