Provider Demographics
NPI:1891055323
Name:MARTIN H. FLOCH,M.D.PC
Entity Type:Organization
Organization Name:MARTIN H. FLOCH,M.D.PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:H
Authorized Official - Last Name:FLOCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-227-3646
Mailing Address - Street 1:32 WOODY LN
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-2259
Mailing Address - Country:US
Mailing Address - Phone:203-227-3646
Mailing Address - Fax:203-227-1442
Practice Address - Street 1:32 WOODY LN
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-2259
Practice Address - Country:US
Practice Address - Phone:203-227-3646
Practice Address - Fax:203-227-1442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-17
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty