Provider Demographics
NPI:1710103940
Name:PRIMARY CARE PHYSICIANS OF FAIRFIELD, P.C.
Entity Type:Organization
Organization Name:PRIMARY CARE PHYSICIANS OF FAIRFIELD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:E
Authorized Official - Last Name:SMERLING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-259-7442
Mailing Address - Street 1:111 BEACH ROAD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824
Mailing Address - Country:US
Mailing Address - Phone:203-259-7442
Mailing Address - Fax:203-259-5108
Practice Address - Street 1:111 BEACH RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-6668
Practice Address - Country:US
Practice Address - Phone:203-259-7442
Practice Address - Fax:203-259-5108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT030941207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT707341OtherCONNECTICARE
CT2243369OtherUNITED
CT7570248OtherAETNA
CT010039435CT01OtherANTHEM
CT10108OtherCIGNA
CT2V2747OtherHEALTH NET
CT0842207003OtherCIGNA
CT1339696OtherUNITED
CT530941OtherCONNECTICARE
CTZP187OtherOXFORD
CTP2716247OtherOXFORD
CT003983OtherHEALTH NET
CT0100030941CT01OtherANTHEM
CT4276527OtherAETNA
CT010039435CT01OtherANTHEM
CT707341OtherCONNECTICARE
CT1339696OtherUNITED