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CONNECTICUT KIDNEY CENTER LLC NPI 1912156845


NPI Information

NPI: 1912156845
Provider Name: CONNECTICUT KIDNEY CENTER, LLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
240 INDIAN RIVER RD
SUITE A5
ORANGE, CT
ZIP 06477
Phone: (203) 799-1252
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CONNECTICUT KIDNEY CENTER, LLC is a nephrology internal medicine in Orange, CT. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. CONNECTICUT KIDNEY CENTER, LLC NPI is 1912156845. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

240 INDIAN RIVER RD
SUITE A5
ORANGE, CT
ZIP 06477-649
Phone: (203) 799-1252
Fax: (203) 799-1252

The provider's authorized official is Maureen Onofrio .
The authorized official title is Billing Manager and has the following contact phone number (203) 799-1252.

The enumeration date for this NPI number is 9/16/2008 and was last updated on 1/5/2011.


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
1207RN0300XInternal MedicineNephrologyCONNECTICUTYes

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
1008002231MEDICAIDCONNECTICUT
2D100000053MEDICARE PINCONNECTICUT

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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