Provider Demographics
NPI:1053340943
Name:ADVANCED SPECIALTY CARE, P.C.
Entity type:Organization
Organization Name:ADVANCED SPECIALTY CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:H
Authorized Official - Last Name:KLARSFELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-938-2287
Mailing Address - Street 1:107 NEWTOWN RD
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-4146
Mailing Address - Country:US
Mailing Address - Phone:203-830-4700
Mailing Address - Fax:203-830-5080
Practice Address - Street 1:107 NEWTOWN RD
Practice Address - Street 2:SUITE 2A
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-4146
Practice Address - Country:US
Practice Address - Phone:203-830-4700
Practice Address - Fax:203-830-5080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
No207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty
No208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004394938Medicaid
CTC00862Medicare PIN
CTC00862Medicare ID - Type Unspecified