Provider Demographics
NPI:1033439039
Name:NEIL T SPECHT, MD, LLC
Entity Type:Organization
Organization Name:NEIL T SPECHT, MD, LLC
Other - Org Name:CONNECTICUT BIOPSY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEILL
Authorized Official - Middle Name:T
Authorized Official - Last Name:SPECHT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-445-0101
Mailing Address - Street 1:888 WHITE PLAINS RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-4552
Mailing Address - Country:US
Mailing Address - Phone:203-455-0101
Mailing Address - Fax:203-459-8555
Practice Address - Street 1:888 WHITE PLAINS RD
Practice Address - Street 2:SUITE 206
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-4552
Practice Address - Country:US
Practice Address - Phone:203-455-0101
Practice Address - Fax:203-459-8555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-02
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT27045207R00000X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty