| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1457396145 | BACKE | HENRY | A | 305 BLACK ROCK TPKE | FAIRFIELD | CT | 068255508 | |
| 1003067604 | EUM | REGINA | 305 BLACK ROCK TPKE | FAIRFIELD | CT | 068255508 | ||
| 1821027244 | WEILAND | DANIEL | ERIC | 305 BLACK ROCK TPKE | FAIRFIELD | CT | 068255508 |