Dr. Mark J Gang, PHD
Psychologist in Fairfield, Connecticut
1588684427- Practice location
- 2228 Black Rock Tpke, Suite 310, Fairfield, CT 06825-3237
- Phone
- 203-336-4264
- Fax
- 203-336-4265
- Last updated
- July 8, 2007
Mark Jay Gang is a Psychologist based in Fairfield, CT. Mark Jay Gang practices in Fairfield, CT and has the professional credentials of PHD. The NPI Number for Mark Jay Gang is 1588684427 and holds a License No. 562 (CT). The current practice location address for Mark Jay Gang is 2228 Black Rock Tpke, Suite 310, Fairfield, CT 06825-3237 and can be reached out via phone at 203-336-4264 and via fax at 203-336-4265.
Provider Profile Details
- NPI Number
- 1588684427
- Provider Name
- Mark Jay Gang
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2228 Black Rock Tpke, Suite 310, Fairfield, CT 06825-3237
- Phone Number
- 203-336-4264
- Fax Number
- 203-336-4265
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 21, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2228 Black Rock Tpke
Suite 310
Fairfield, CT 06825-3237 - City
- Fairfield
- State
- Connecticut
- Zip
- 06825-3237
- Phone Number
- 203-336-4264
- Fax Number
- 203-336-4265
Provider Business Mailing Address Details
- Address
- 2228 Black Rock Tpke
Suite 310
Fairfield, CT 06825-3237 - City
- Fairfield
- State
- CT
- Zip
- 06825-3237
- Phone Number
- 203-336-4264
- Fax Number
- 203-336-4265
License Information
- License Number
- 562
- License State
- CT
- Taxonomy
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologists near Fairfield, CT
View all Psychologists in Fairfield →Frequently Asked Questions
What is the NPI number of Dr. Mark J Gang, PHD?
The NPI number of Dr. Mark J Gang, PHD is 1588684427. It was assigned on July 21, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Mark J Gang, PHD?
Dr. Mark J Gang, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in CT under license number 562.
Where does Dr. Mark J Gang, PHD practice?
The practice location is 2228 Black Rock Tpke, Suite 310, Fairfield, CT 06825-3237. The office can be reached at 203-336-4264 (phone) or 203-336-4265 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588684427 directly on the NPPES registry website.