Leslie J Fodeman, MD
Internal Medicine in Westport, Connecticut
1730591777- Practice location
- 12 Hillspoint RD, Westport, CT 06880-4536
- Phone
- 203-226-3411
- Fax
- 203-226-3411
- Last updated
- May 27, 2014
Leslie J Fodeman is an Internal Medicine based in Westport, CT. Leslie J Fodeman practices in Westport, CT and has the professional credentials of MD. The NPI Number for Leslie J Fodeman is 1730591777 and holds a License No. 12646 (CT). The current practice location address for Leslie J Fodeman is 12 Hillspoint RD, Westport, CT 06880-4536 and can be reached out via phone at 203-226-3411 and via fax at 203-226-3411.
Provider Profile Details
- NPI Number
- 1730591777
- Provider Name
- Leslie J Fodeman
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 12 Hillspoint RD, Westport, CT 06880-4536
- Phone Number
- 203-226-3411
- Fax Number
- 203-226-3411
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 26, 2014
- Last Update Date
- May 27, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Hillspoint RD
Westport, CT 06880-4536 - City
- Westport
- State
- Connecticut
- Zip
- 06880-4536
- Phone Number
- 203-226-3411
- Fax Number
- 203-226-3411
Provider Business Mailing Address Details
- Address
- 12 Hillspoint RD
Westport, CT 06880-4536 - City
- Westport
- State
- CT
- Zip
- 06880-4536
- Phone Number
- 203-226-3411
- Fax Number
- 203-226-3411
License Information
- License Number (1)
- 12646
- License State (1)
- CT
- Taxonomy (1)
- Internal Medicine · 207R00000X · Primary
- License Number (2)
- 12646
- License State (2)
- CT
- Taxonomy (2)
- Legal Medicine · 173000000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Leslie J Fodeman, MD?
The NPI number of Leslie J Fodeman, MD is 1730591777. It was assigned on May 26, 2014 and is currently active in the NPPES registry.
What is the specialty of Leslie J Fodeman, MD?
Leslie J Fodeman, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 12646.
Where does Leslie J Fodeman, MD practice?
The practice location is 12 Hillspoint RD, Westport, CT 06880-4536. The office can be reached at 203-226-3411 (phone) or 203-226-3411 (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 1730591777 directly on the NPPES registry website.