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DIABETES AND ENDOCRINOLOGY OF NORTHWESTERN CONNECTICUT NPI 1407944689


NPI Information

NPI: 1407944689
Provider Name: DIABETES AND ENDOCRINOLOGY OF NORTHWESTERN CONNECTICUT
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
780 LITCHFIELD ST
TORRINGTON, CT
ZIP 06790
Phone: (860) 496-2198
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DIABETES AND ENDOCRINOLOGY OF NORTHWESTERN CONNECTICUT is an endocrinology and diabetes and metabolism internal medicine in Torrington, CT. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DIABETES AND ENDOCRINOLOGY OF NORTHWESTERN CONNECTICUT NPI is 1407944689. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

780 LITCHFIELD ST
TORRINGTON, CT
ZIP 06790-268
Phone: (860) 496-2198
Fax: (860) 489-2482

The provider's authorized official is Egils Knuts Bogdanovics .
The authorized official title is Owner and has the following contact phone number (860) 496-2198.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 11/9/2012.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14311104OTHERCONNECTICUTAETNA EDI ID
2C03505MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUTMEDICARE ID
3001312660MEDICAIDCONNECTICUT
43000OTHERCONNECTICUTNEIC SITE ID, NSF BAO-7
57133354OTHERCONNECTICUTAETNA CLAIMS ID
6=========OTHERCONNECTICUTTAX ID
7=========OTHERCONNECTICUTUNITED HEALTHCARE ID

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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