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BEAVER POND BROOK EMERGENCY PHYSICIANS LLC NPI 1386173201


NPI Information

NPI: 1386173201
Provider Name: BEAVER POND BROOK EMERGENCY PHYSICIANS LLC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
3081 E MAIN ST
WATERBURY, CT
ZIP 06705
Phone: (469) 401-2386
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BEAVER POND BROOK EMERGENCY PHYSICIANS LLC is an emergency medicine in Waterbury, CT. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. BEAVER POND BROOK EMERGENCY PHYSICIANS LLC NPI is 1386173201. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3081 E MAIN ST
WATERBURY, CT
ZIP 06705-424
Phone: (469) 401-2386

The provider's authorized official is Russell Harris .
The authorized official title is Officer and has the following contact phone number (469) 401-2386.

The enumeration date for this NPI number is 6/5/2017 and was last updated on 6/5/2017.


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
1207P00000XEmergency MedicineYes

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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