Fairfield County Integrative Family Medicine LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

044753 Issued in CT

Legal business name

FAIRFIELD COUNTY INTEGRATIVE FAMILY MEDICINE LLC

Practice address

2 Corporate Dr
Suite 110
Trumbull, CT 06611-1376

Phone

(203) 445-9060

Fax

(203) 445-9093

NPI assigned

Jun 20, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tonya M Cremin, DO

Title

President/Owner

Phone

(203) 521-3405

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1629239751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CORPORATE DR",
            "address_2": "SUITE 110",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111376",
            "telephone_number": "203-445-9060",
            "fax_number": "203-445-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORPORATE DR",
            "address_2": "SUITE 110",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111376",
            "telephone_number": "203-445-9060",
            "fax_number": "203-445-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD COUNTY INTEGRATIVE FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "CREMIN",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "203-521-3405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CT",
            "license": "044753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Trumbull, CT
• Primary Care Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.