Active NPIIndividual provider

Dr. Martha Y Small, MD

Pediatrics in Bridgeport, Connecticut

NPI Number1720195209
Practice location
4699 Main St, Suite 215, Bridgeport, CT 06606-1830
Fax
203-452-2296
Last updated
July 8, 2007

Martha Y Small is a Pediatrics based in Bridgeport, CT. Martha Y Small practices in Bridgeport, CT and has the professional credentials of MD. The NPI Number for Martha Y Small is 1720195209 and holds a License No. 028062 (CT). The current practice location address for Martha Y Small is 4699 Main St, Suite 215, Bridgeport, CT 06606-1830 and can be reached out via phone at 203-452-8322 and via fax at 203-452-2296.

Provider Profile Details

NPI Number
1720195209
Provider Name
Martha Y Small
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4699 Main St, Suite 215, Bridgeport, CT 06606-1830
Phone Number
203-452-8322
Fax Number
203-452-2296
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
August 23, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
4699 Main St
Suite 215
Bridgeport, CT 06606-1830
Zip
06606-1830
Phone Number
203-452-8322
Fax Number
203-452-2296
Bridgeport, CT 06606Get directions →

Provider Business Mailing Address Details

Address
15 Corporate Dive
Trumbull, CT 06611
City
Trumbull
State
CT
Zip
06611
Phone Number
203-452-8322
Fax Number
203-452-2296

License Information

License Number
028062
License State
CT
Taxonomy
Pediatrics · 208000000X · 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 Dr. Martha Y Small, MD?

The NPI number of Dr. Martha Y Small, MD is 1720195209. It was assigned on August 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Martha Y Small, MD?

Dr. Martha Y Small, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 028062.

Where does Dr. Martha Y Small, MD practice?

The practice location is 4699 Main St, Suite 215, Bridgeport, CT 06606-1830. The office can be reached at 203-452-8322 (phone) or 203-452-2296 (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 1720195209 directly on the NPPES registry website.

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