institution
Dr. Jeffrey Small
Specialist in Bridgeport, Connecticut
NPI 1740519883

Dr. Jeffrey Small is a Specialist based in Bridgeport, CT. Dr. Jeffrey Small practices in Bridgeport, CT. The NPI Number for Dr. Jeffrey Small is 1740519883 and holds a License No. BS3578397 (Connecticut).

The current practice location address for Dr. Jeffrey Small is 4695 Main St, Bridgeport, CT and can be reached out via phone at 203-372-4419 and via fax at 203-372-4919. You can also correspond with Dr. Jeffrey Small through the mailing address at 4695 MAIN ST, BRIDGEPORT, CT - 06606-1802 (mailing address contact number: 203-372-4419).

Location: 4695 Main St, Bridgeport, CT, 06606-1802
institution
Provider Profile Details
NPI Number
1740519883
Provider Name
Dr. Jeffrey Small
Credential
Provider Entity Type
Organization
Address
4695 Main St, Bridgeport, CT, 06606-1802
Phone Number
203-372-4419
Fax Number
203-372-4919
Provider Enumeration Date
12/21/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
125947 01 CT WELLCARE
ZS278 01 OXFORD
003985 01 HEALTHNET
001304956 05 CT
4337423 01 AETNA
01030495CT03 01 ANTHEM BLUE CROSS & BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
4695 Main St
City
State
Zip
06606-1802
Phone Number
203-372-4419
Fax Number
203-372-4919
person
Provider Business Mailing Address Details
Address
4695 Main St
City
State
Zip
06606-1802
Phone Number
203-372-4419
Fax Number
203-372-4919
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
BS3578397 (Connecticut)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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