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GASTROENTEROLOGY SPECIALTY GROUP LLC NPI 1548207970


NPI Information

NPI: 1548207970
Provider Name: GASTROENTEROLOGY SPECIALTY GROUP, LLC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
115 TECHNOLOGY DR
STE B-106
TRUMBULL, CT
ZIP 06611
Phone: (203) 452-1411
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GASTROENTEROLOGY SPECIALTY GROUP, LLC is a gastroenterology internal medicine in Trumbull, CT. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. GASTROENTEROLOGY SPECIALTY GROUP, LLC NPI is 1548207970. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

115 TECHNOLOGY DR
STE B-106
TRUMBULL, CT
ZIP 06611-395
Phone: (203) 452-1411
Fax: (203) 452-1412

The provider's authorized official is Tarun K Gupta .
The authorized official title is Physician and has the following contact phone number (203) 452-1411.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 4/7/2015.


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
1207RG0100XInternal MedicineGastroenterology032684CONNECTICUTYes

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
12185309009OTHERCONNECTICUTCIGNA PROV. #
2P653628OTHERCONNECTICUTOXFORD PROVIDER NUMBER
388411OTHERCONNECTICUTUS HEALTHCARE PROV. #
4001326843MEDICAIDCONNECTICUT
5032684OTHERCONNECTICUTCONNECTICARE PROVIDER NUM
65373649OTHERCONNECTICUTAETNA PROVIDER #
7C03523MEDICARE PIN
8OV6284OTHERCONNECTICUTHEALTHNET PROV. #
9010032684CT05OTHERCONNECTICUTBC PROVIDER NUMBER
10110239944OTHERCONNECTICUTMEDICARE RAILROAD PROV. #
11F54664MEDICARE UPINCONNECTICUT

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.