Healthcare Provider Details

I. General information

NPI: 1609250547
Provider Name (Legal Business Name): MARAT KRIBIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2015
Last Update Date: 10/26/2026
Certification Date: 10/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5520 PARK AVE
TRUMBULL CT
06611-3463
US

IV. Provider business mailing address

5520 PARK AVE
TRUMBULL CT
06611-3463
US

V. Phone/Fax

Practice location:
  • Phone: 203-371-5873
  • Fax: 203-371-5874
Mailing address:
  • Phone: 203-371-5873
  • Fax: 203-371-5874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number60285
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number60285
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: