Healthcare Provider Details

I. General information

NPI: 1235469263
Provider Name (Legal Business Name): EROL NARGILECI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2010
Last Update Date: 09/06/2024
Certification Date: 09/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 MAPLE ST
NORWALK CT
06850-3815
US

IV. Provider business mailing address

34 MAPLE ST
NORWALK CT
06850-3894
US

V. Phone/Fax

Practice location:
  • Phone: 312-864-7229
  • Fax:
Mailing address:
  • Phone: 203-855-3680
  • Fax: 203-855-3681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberCT048998
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number01082408A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number48998
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: