Provider Demographics
NPI:1285851097
Name:ARBOR MEDICAL GROUP, LLC
Entity Type:Organization
Organization Name:ARBOR MEDICAL GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:BRANDT
Authorized Official - Last Name:EINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-544-9517
Mailing Address - Street 1:87 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-4908
Mailing Address - Country:US
Mailing Address - Phone:203-852-6986
Mailing Address - Fax:203-852-8927
Practice Address - Street 1:87 EAST AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4908
Practice Address - Country:US
Practice Address - Phone:203-852-6986
Practice Address - Fax:203-852-8927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTC02554Medicare ID - Type UnspecifiedGROUP BILLING NUMBER