MEDICARE: DR. EDWARD PINTO MD

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	174400000X	Specialist	018612	CT
2	207R00000X	Internal Medicine Physician	018612	CT

General Provider Information

NPI Number	:	1346207727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD PINTO MD

Provider Business Mailing Address
First Line	:	52 BEACH RD
Second Line	:
City	:	FAIRFIELD
State	:	CT
Zip	:	06824-6017
Country	:	US
Telephone Number	:	203-254-1663
Fax Number	:	203-259-1694

Provider Business Practice Location Address
First Line	:	52 BEACH RD
Second Line	:
City	:	FAIRFIELD
State	:	CT
Zip	:	06824-6017
Country	:	US
Telephone Number	:	203-254-1663
Fax Number	:	203-259-1694

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	10/16/2014

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Directions to “ DR. EDWARD PINTO MD” Practice Location

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