Lewis M Bader in Bridgeport - Diagnostic Radiology

Lewis M Bader - NPI 1033115910

Lewis M Bader is a Diagnostic Radiology in Bridgeport, Connecticut. Lewis M Bader practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Lewis M Bader is 1033115910. The last update date is 2013-01-07.

Lewis M Bader's current location address is 2660 Main St, Bridgeport, Connecticut. You can contact this provider via phone number 2036834540 and fax number 2039261415. The mailing address for Lewis M Bader is 2660 Main St, Bridgeport, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Lewis M Bader
Address 2660 Main St, Bridgeport, Connecticut
Phone Number 2036834540
Fax Number 2039261415
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1033115910
Provider Enumeration Date 2005-06-24
Last Updated Date 2013-01-07

Provider Mailing Address Detail

Address 2660 Main St
City Bridgeport
State Connecticut (CT)
Post Code 660653690
Phone Number 2036834540
Fax Number 2039261415

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 15987
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1159870 CT --

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FAQs about Lewis M Bader

What is the Lewis M Bader's 1033115910?

The Lewis M Bader's NPI (National Provider Identifier) Number is 1033115910. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Lewis M Bader?

The Lewis M Bader is physically situated at 2660 Main St, in the city of Bridgeport, state of CT, with the postal code 660653690.

What is the Lewis M Bader's specialty and taxonomy code?

The Lewis M Bader's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1033115910 to Lewis M Bader?

The Centers for Medicare & Medicaid Services originally issued the 1033115910 to Lewis M Bader on 2005-06-24.

When was the information regarding Lewis M Bader most recently updated?

The details pertaining to the Lewis M Bader, including its address, specialty, and other relevant information, were last refreshed on 2013-01-07.

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