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DARTMOUTH ENDOCRINOLOGY LLC NPI 1669669982


NPI Information

NPI: 1669669982
Provider Name: DARTMOUTH ENDOCRINOLOGY LLC

Doing Business As: DARTMOUTH ENDOCRINOLOGY, DIABETES AND METABOLISM, LLC

Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 07D1031984

Address:
44 DALE RD STE 201
AVON, CT
ZIP 06001
Phone: (860) 679-0234
Get Directions

DARTMOUTH ENDOCRINOLOGY LLC is an endocrinology and diabetes and metabolism internal medicine in Avon, 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. DARTMOUTH ENDOCRINOLOGY LLC NPI is 1669669982. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dartmouth Endocrinology, Diabetes And Metabolism, Llc.

The provider's business location address is:

44 DALE RD STE 201
AVON, CT
ZIP 06001-351
Phone: (860) 679-0234
Fax: (860) 606-0060

The provider's authorized official is Gregory J Bombassei .
The authorized official title is Owner and has the following contact phone number (860) 679-0234.

The CLIA number assigned to this NPI record is 07D1031984 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/1/2007 and was last updated on 12/13/2023.


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 & Metabolism032434CONNECTICUTYes

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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