Provider Demographics
NPI:1881778264
Name:DALAL, BIPINCHAND J (MD)
Entity type:Individual
Prefix:MR
First Name:BIPINCHAND
Middle Name:J
Last Name:DALAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3715 MAIN STREET
Mailing Address - Street 2:SUITE 307
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06606
Mailing Address - Country:US
Mailing Address - Phone:203-372-5001
Mailing Address - Fax:203-372-4224
Practice Address - Street 1:3715 MAIN STREET
Practice Address - Street 2:SUITE 307
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06606
Practice Address - Country:US
Practice Address - Phone:203-372-5001
Practice Address - Fax:203-372-4224
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT015029208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics