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MIDDLESEX HOSPITAL DBA FAMILY PRACTICE GROUP EAST HAMPTON NPI 1114062114


NPI Information

NPI: 1114062114
Provider Name: MIDDLESEX HOSPITAL DBA FAMILY PRACTICE GROUP EAST HAMPTON

Doing Business As: FAMILY PRACTICE GROUP EAST HAMPTON

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 07D0720274

Address:
42 E HIGH ST
EAST HAMPTON, CT
ZIP 06424
Phone: (860) 344-6394
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MIDDLESEX HOSPITAL DBA FAMILY PRACTICE GROUP EAST HAMPTON is a family medicine in East Hampton, CT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MIDDLESEX HOSPITAL DBA FAMILY PRACTICE GROUP EAST HAMPTON NPI is 1114062114. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Family Practice Group East Hampton.

The provider's business location address is:

42 E HIGH ST
EAST HAMPTON, CT
ZIP 06424-099
Phone: (860) 344-6394
Fax: (860) 344-6748

The provider's authorized official is Marisa Pellerin .
The authorized official title is Credentialing/enrollment and has the following contact phone number (860) 358-4821.

The CLIA number assigned to this NPI record is 07D0720274 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/20/2007 and was last updated on 3/6/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineCONNECTICUTYes
2207QG0300XFamily MedicineGeriatric MedicineCONNECTICUTNo
3207V00000XObstetrics & GynecologyCONNECTICUTNo
4208000000XPediatricsCONNECTICUTNo
5363AM0700XPhysician AssistantMedicalCONNECTICUTNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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