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CT COMPREHENSIVE NEUROLOGIC MANAGEMENT LLC NPI 1730288697


NPI Information

NPI: 1730288697
Provider Name: CT COMPREHENSIVE NEUROLOGIC MANAGEMENT, LLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
2 BROADWAY
NORTH HAVEN, CT
ZIP 06473
Phone: (203) 234-1993
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CT COMPREHENSIVE NEUROLOGIC MANAGEMENT, LLC is a neurology psychiatry neurology in North Haven, CT. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. CT COMPREHENSIVE NEUROLOGIC MANAGEMENT, LLC NPI is 1730288697. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2 BROADWAY
NORTH HAVEN, CT
ZIP 06473-349
Phone: (203) 234-1993
Fax: (203) 234-7147

The provider's authorized official is Rosalie G. Mednick .
The authorized official title is Office Manager and has the following contact phone number (203) 234-1993.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 6/21/2010.


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
12084N0400XPsychiatry & NeurologyNeurology037501CONNECTICUTYes

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
19794136003OTHERCONNECTICUTCIGNA
2=========OTHERCONNECTICUTHEALTH CT
3772945OTHERCONNECTICUTCONNECTICARE
4=========OTHERCONNECTICUTMEDSPAN
5G43698MEDICARE UPINCONNECTICUT
6130000596MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
7010037501CT02OTHERCONNECTICUTANTHEM
8317063OTHERCONNECTICUTWELLCARE
9P00080745MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUTRAILROAD MEDICARE
100Q3637OTHERCONNECTICUTHEALTHNET
113223587OTHERCONNECTICUTAETNA
12P2491200OTHERCONNECTICUTOXFORD
13=========OTHERCONNECTICUTPHCS
14=========OTHERCONNECTICUTUNITED

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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