HomeNPI Verification

NPI Verification

National Provider Identifier: 1376190850

Confermed PC

Organization

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (12)

Dermatology

Code: 207N00000X

Family Medicine

Code: 207Q00000X

Internal Medicine

Code: 207R00000X

Primary

Medical Genetics, Clinical Genetics (M.D.)

Code: 207SG0201X

Ophthalmology

Code: 207W00000X

Orthopaedic Surgery

Code: 207X00000X

Otolaryngology

Code: 207Y00000X

Pediatrics

Code: 208000000X

Psychiatry & Neurology, Psychiatry

Code: 2084P0800X

Urology

Code: 208800000X

Code: 208VP0000X

Clinic/Center, Multi-Specialty

Code: 261QM1300X

Practice Address

19 GRAND ST

MIDDLETOWN, CT 064572705

Phone: 860-323-0172

NPI Enumeration Date

August 20, 2019

NPI Number

1376190850

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry