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MIDDLESEX HOSPITAL DBA FAMILY PRACTICE GROUP PORTLAND NPI 1568597128


NPI Information

NPI: 1568597128
Provider Name: MIDDLESEX HOSPITAL DBA FAMILY PRACTICE GROUP PORTLAND
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 07D0720275

Address:
595 MAIN ST
PORTLAND, CT
ZIP 06480
Phone: (860) 344-6394
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MIDDLESEX HOSPITAL DBA FAMILY PRACTICE GROUP PORTLAND is a family medicine in Portland, 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 PORTLAND NPI is 1568597128. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

595 MAIN ST
PORTLAND, CT
ZIP 06480-156
Phone: (860) 344-6394
Fax: (860) 344-6748

The provider's authorized official is Vincent G Capece .
The authorized official title is Sr Vp Financr & Operations and has the following contact phone number (860) 344-6394.

The CLIA number assigned to this NPI record is 07D0720275 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/23/2007 and was last updated on 8/22/2020.


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
2207V00000XObstetrics & GynecologyCONNECTICUTX
3208000000XPediatricsCONNECTICUTX
4207QG0300XFamily MedicineGeriatric MedicineCONNECTICUTX
5363AM0700XPhysician AssistantMedicalCONNECTICUTX

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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