Provider Demographics
NPI:1023377926
Name:A GREGORY GEIGER MD PC
Entity Type:Organization
Organization Name:A GREGORY GEIGER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:GEIGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-955-1202
Mailing Address - Street 1:1275 POST ROAD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-6015
Mailing Address - Country:US
Mailing Address - Phone:203-955-1202
Mailing Address - Fax:203-955-1203
Practice Address - Street 1:1275 POST ROAD
Practice Address - Street 2:SUITE 208
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-6015
Practice Address - Country:US
Practice Address - Phone:203-955-1202
Practice Address - Fax:203-955-1203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-11
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT033733207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTF61697Medicare UPIN