Provider Demographics
NPI:1942470810
Name:JAMES K AHERN AND DR CAROL A GALBAN MDS
Entity type:Organization
Organization Name:JAMES K AHERN AND DR CAROL A GALBAN MDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:K
Authorized Official - Last Name:AHERN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-431-6342
Mailing Address - Street 1:77 DANBURY RD
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-4029
Mailing Address - Country:US
Mailing Address - Phone:203-431-6342
Mailing Address - Fax:203-438-4548
Practice Address - Street 1:77 DANBURY RD
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-4029
Practice Address - Country:US
Practice Address - Phone:203-431-6342
Practice Address - Fax:203-438-4548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-07
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT023834207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTC00691Medicare PIN