MEDICARE: SUDIPTA & BINDU DEY, MD, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036462	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578689287
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUDIPTA & BINDU DEY, MD, INC

Provider Business Mailing Address
First Line	:	127 PINES BRIDGE RD
Second Line	:
City	:	BEACON FALLS
State	:	CT
Zip	:	06403-1017
Country	:	US
Telephone Number	:	203-881-2757
Fax Number	:	203-881-2639

Provider Business Practice Location Address
First Line	:	127 PINES BRIDGE RD
Second Line	:
City	:	BEACON FALLS
State	:	CT
Zip	:	06403-1017
Country	:	US
Telephone Number	:	203-881-2757
Fax Number	:	203-881-2639

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. SUDIPTA DEY
Credential	:	MD
Telephone Number	:	203-881-2757

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	02/21/2022

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