JOHNSON OCCUPATIONAL MEDICINE CENTER NPI 1740314061

NPI Information

NPI: 1740314061
Provider Name: JOHNSON OCCUPATIONAL MEDICINE CENTER
Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

Address:
3 WEYMOUTH RD
ENFIELD, CT
ZIP 06083
Phone: (860) 763-7668
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JOHNSON OCCUPATIONAL MEDICINE CENTER is an occupational medicine clinic center in Enfield, CT. JOHNSON OCCUPATIONAL MEDICINE CENTER NPI is 1740314061. The provider is registered as an organization entity type.

The provider's business location address is:

3 WEYMOUTH RD
ENFIELD, CT
ZIP 06083-153
Phone: (860) 763-7668
Fax: (860) 763-7676

The provider's authorized official is Michael Erdil .
The authorized official title is Medical Director and has the following contact phone number (860) 763-7668.

The enumeration date for this NPI number is 3/16/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QX0100X	Clinic/Center	Occupational Medicine			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010245	OTHER	CONNECTICUT	CONNECTICARE
2	3015101	OTHER	CONNECTICUT	CIGNA
3	P3201009	OTHER	CONNECTICUT	OXFORD
4	2V4744	OTHER	CONNECTICUT	HEALTHNET
5	010023596CT11	OTHER	CONNECTICUT	ANTHEM
6	CU7369	OTHER	CONNECTICUT	HEALTHNET

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: 5/5/2024

NPI Synchronization or Removal

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