Provider Demographics
NPI:1548253990
Name:FAIRFIELD PEDIATRICS INC
Entity type:Organization
Organization Name:FAIRFIELD PEDIATRICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RANJANA
Authorized Official - Middle Name:V
Authorized Official - Last Name:PARIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-333-0800
Mailing Address - Street 1:501 KINGS HWY E
Mailing Address - Street 2:STE 203
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825
Mailing Address - Country:US
Mailing Address - Phone:203-333-0800
Mailing Address - Fax:203-333-0755
Practice Address - Street 1:501 KINGS HWY E
Practice Address - Street 2:STE 203
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825
Practice Address - Country:US
Practice Address - Phone:203-333-0800
Practice Address - Fax:203-333-0755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT036548208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
H35810Medicare UPIN