Provider Demographics
NPI:1033171608
Name:OBERMAN, JEFFREY L (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:L
Last Name:OBERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 SASCO HILL RD # 202
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-5670
Mailing Address - Country:US
Mailing Address - Phone:203-221-0545
Mailing Address - Fax:203-221-0592
Practice Address - Street 1:1 SASCO HILL RD # 202
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-5670
Practice Address - Country:US
Practice Address - Phone:203-221-0545
Practice Address - Fax:203-221-0592
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2022-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT021993207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001219930Medicaid