Active NPIIndividual provider

Phillis Beberman-Jennes, DO

Anesthesiology in Bridgeport, Connecticut

NPI Number1710927561
Practice location
4920 Main St, Suite 202, Bridgeport, CT 06606
Fax
203-374-4702
Last updated
May 19, 2008

Phillis Beberman-Jennes is an Anesthesiology based in Bridgeport, CT. Phillis Beberman-Jennes practices in Bridgeport, CT and has the professional credentials of DO. The NPI Number for Phillis Beberman-Jennes is 1710927561 and holds a License No. 000424 (CT). The current practice location address for Phillis Beberman-Jennes is 4920 Main St, Suite 202, Bridgeport, CT 06606 and can be reached out via phone at 203-374-1515 and via fax at 203-374-4702.

Provider Profile Details

NPI Number
1710927561
Provider Name
Phillis Beberman-Jennes
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
4920 Main St, Suite 202, Bridgeport, CT 06606
Phone Number
203-374-1515
Fax Number
203-374-4702
Primary Taxonomy
Anesthesiology · 207L00000X
Sole Proprietor
No
Provider Enumeration Date
June 8, 2006
Last Update Date
May 19, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
4920 Main St
Suite 202
Bridgeport, CT 06606
Zip
06606
Phone Number
203-374-1515
Fax Number
203-374-4702
Bridgeport, CT 06606Get directions →

Provider Business Mailing Address Details

Address
4920 Main St
Suite 202
Bridgeport, CT 06606-1300
City
Bridgeport
State
CT
Zip
06606-1300
Phone Number
203-374-1515
Fax Number
203-374-4702

License Information

License Number
000424
License State
CT
Taxonomy
Anesthesiology · 207L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Phillis Beberman-Jennes, DO?

The NPI number of Phillis Beberman-Jennes, DO is 1710927561. It was assigned on June 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Phillis Beberman-Jennes, DO?

Phillis Beberman-Jennes, DO is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in CT under license number 000424.

Where does Phillis Beberman-Jennes, DO practice?

The practice location is 4920 Main St, Suite 202, Bridgeport, CT 06606. The office can be reached at 203-374-1515 (phone) or 203-374-4702 (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 1710927561 directly on the NPPES registry website.

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