Unknown Individual – Obesity Medicine (Family Medicine) Physician, NPI 1114367877

Unknown Individual is a healthcare provider. based in Fairfield, Connecticut. specializing in Obesity Medicine (Family Medicine) Physician. They hold a License No. 009407 (CT). The NPI Number for Unknown Individual is 1114367877

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114367877
Phone
(203) 255-1565
Address
400 POST RD
Deactivation Date
22 February 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 400 POST RD

    FAIRFIELD, CT 068246244

    Phone: (203) 255-1565

    Fax: (203) 255-3755

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06824)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1114367877?
NPI 1114367877 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Obesity Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Fairfield, Connecticut.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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