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Dr. John Birk, M.D.

Internal Medicine, Gastroenterology in Farmington, CT. Individual provider (NPI-1).

NPI number1609801547
StatusActive
Last updated in NPPESSep 28, 2022

Details

NPI
1609801547
Entity type
Individual (NPI-1)
Name
Dr. John Birk
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 11, 2006
Last updated
Sep 28, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology046228CTYes

Practice location

263 Farmington Ave
Gastroenterology Associates
Farmington, CT 06030-0001

Phone 860-679-3238 · Fax 860-679-1217

Mailing address

263 Farmington Ave
Provider Enrollment
Farmington, CT 06030-2212

Phone 860-679-7503 · Fax 860-679-1610

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