Provider Demographics
NPI:1598833683
Name:BEST, JEFFERY ALLEN (DPM)
Entity Type:Individual
Prefix:DR
First Name:JEFFERY
Middle Name:ALLEN
Last Name:BEST
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:18 PENNY ROYAL LN
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:CT
Mailing Address - Zip Code:06468-3249
Mailing Address - Country:US
Mailing Address - Phone:203-984-1885
Mailing Address - Fax:
Practice Address - Street 1:2321 BLACK ROCK TPKE
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825-3220
Practice Address - Country:US
Practice Address - Phone:203-372-7445
Practice Address - Fax:203-372-0506
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT000744213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTU86094Medicare UPIN