Provider Demographics
NPI:1396916078
Name:NORWALK PULMONARY CONSULTANTS,PC
Entity type:Organization
Organization Name:NORWALK PULMONARY CONSULTANTS,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:PAULA
Authorized Official - Last Name:KURTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-855-3888
Mailing Address - Street 1:30 STEVENS ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-3859
Mailing Address - Country:US
Mailing Address - Phone:203-855-3888
Mailing Address - Fax:203-855-3966
Practice Address - Street 1:30 STEVENS ST
Practice Address - Street 2:SUITE C
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-3859
Practice Address - Country:US
Practice Address - Phone:203-855-3888
Practice Address - Fax:203-855-3966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-20
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTH23523Medicare UPIN
CTE90197Medicare UPIN