Healthcare Provider Details

I. General information

NPI: 1760558878
Provider Name (Legal Business Name): HEALTH FIRST MEDICAL, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 05/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3715 MAIN ST
BRIDGEPORT CT
06606-3618
US

IV. Provider business mailing address

3715 MAIN ST
BRIDGEPORT CT
06606-3618
US

V. Phone/Fax

Practice location:
  • Phone: 203-371-6200
  • Fax: 203-374-6201
Mailing address:
  • Phone: 203-371-6200
  • Fax: 203-374-6201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARC D KIRSHNER
Title or Position: OWNER
Credential: D.C.
Phone: 203-371-6200