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PRIMARY CARE OF MYSTIC PC NPI 1356571814


NPI Information

NPI: 1356571814
Provider Name: PRIMARY CARE OF MYSTIC PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
41 E MAIN ST
MYSTIC, CT
ZIP 06355
Phone: (860) 572-2988
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PRIMARY CARE OF MYSTIC PC is an internal medicine in Mystic, CT. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PRIMARY CARE OF MYSTIC PC NPI is 1356571814. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

41 E MAIN ST
MYSTIC, CT
ZIP 06355-831
Phone: (860) 572-2988

The provider's authorized official is Louis C Iovino .
The authorized official title is Owner / Physician and has the following contact phone number (757) 753-0010.

The enumeration date for this NPI number is 7/18/2009 and was last updated on 2/16/2010.


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 Medicine046497CONNECTICUTNo
2207R00000XInternal MedicineDO00649RHODE ISLANDNo
3207R00000XInternal Medicine046497CONNECTICUTNo
4207R00000XInternal Medicine047587CONNECTICUTYes

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: 11/14/2023

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