Jeffrey Daniel Small, MD Valid NPI
Individual provider · Urology Physician · Bridgeport, CT
- NPI
- 1750375549
- Type
- Individual (Type 1)
- Primary specialty
- Urology Physician (Urology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208800000X
- License number
- 030495 (CT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-09-07
- Last updated
- 2013-10-22
Practice location
4695 Main St
Bridgeport, CT 06606-1802
(203) 372-4419