Basic Information
| Provider Information | |||||||||
| NPI: | 1154367522 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SMERLING | ||||||||
| FirstName: | NEIL | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2660 MAIN ST 216 | ||||||||
| Address2: | |||||||||
| City: | BRIDGEPORT | ||||||||
| State: | CT | ||||||||
| PostalCode: | 066065301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2035765346 | ||||||||
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| Practice Location | |||||||||
| Address1: | 425 POST RD | ||||||||
| Address2: | |||||||||
| City: | FAIRFIELD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 068246232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2032597442 | ||||||||
| FaxNumber: | 2032595108 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/22/2006 | ||||||||
| LastUpdateDate: | 10/11/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 030941 | CT | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.