DR. GENEVIEVE MONTAGU VON WALSTROM MD NPI 1962797696

NPI Information

NPI: 1962797696
Provider Name: DR. GENEVIEVE MONTAGU VON WALSTROM, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
17 WALL ST
MADISON, CT
ZIP 06443
Phone: (203) 779-5126
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DR. Genevieve Montagu Von Walstrom, MD is a general practice in Madison, CT. DR. Genevieve Montagu Von Walstrom, MD NPI is 1962797696. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17 WALL ST
MADISON, CT
ZIP 06443-122
Phone: (203) 779-5126
Fax: (203) 245-0572

The NPI 1962797696 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/10/2011 and was last updated on 2/4/2020.

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	207RA0401X	Internal Medicine	Addiction Medicine	57243	CONNECTICUT	No
2	207V00000X	Obstetrics & Gynecology		57243	CONNECTICUT	No
3	208D00000X	General Practice		57243	CONNECTICUT	Yes

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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