Provider Demographics
NPI:1578689287
Name:SUDIPTA & BINDU DEY, MD, INC
Entity Type:Organization
Organization Name:SUDIPTA & BINDU DEY, MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SUDIPTA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-881-2757
Mailing Address - Street 1:127 PINES BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BEACON FALLS
Mailing Address - State:CT
Mailing Address - Zip Code:06403-1017
Mailing Address - Country:US
Mailing Address - Phone:203-881-2757
Mailing Address - Fax:203-881-2639
Practice Address - Street 1:127 PINES BRIDGE RD
Practice Address - Street 2:
Practice Address - City:BEACON FALLS
Practice Address - State:CT
Practice Address - Zip Code:06403-1017
Practice Address - Country:US
Practice Address - Phone:203-881-2757
Practice Address - Fax:203-881-2639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT036462207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004244373Medicaid