Dr. Roland Martin Jermyn III, M.D.
Emergency Medicine in Bridgeport, CT. Individual provider (NPI-1).
NPI number1114101177
StatusActive
Last updated in NPPESMay 9, 2012
Details
- NPI
- 1114101177
- Entity type
- Individual (NPI-1)
- Name
- Dr. Roland Martin Jermyn III
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 26, 2007
- Last updated
- May 9, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 047368 | CT | Yes |
Practice location
267 Grant StBridgeport, CT 06610-2805
Phone 203-384-3256 · Fax 203-384-4037
Mailing address
267 Grant StBridgeport, CT 06610-2805
Phone 203-384-3256 · Fax 203-384-4037
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