Healthcare Provider Details

I. General information

NPI: 1023377926
Provider Name (Legal Business Name): A GREGORY GEIGER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2012
Last Update Date: 10/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 POST ROAD SUITE 208
FAIRFIELD CT
06824-6015
US

IV. Provider business mailing address

1275 POST ROAD SUITE 208
FAIRFIELD CT
06824-6015
US

V. Phone/Fax

Practice location:
  • Phone: 203-955-1202
  • Fax: 203-955-1203
Mailing address:
  • Phone: 203-955-1202
  • Fax: 203-955-1203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number033733
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number033733
License Number StateCT

VIII. Authorized Official

Name: ARTHUR GREGORY GEIGER
Title or Position: PRESIDENT
Credential: MD
Phone: 203-955-1202