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07D0711410 CLIA NUMBER - GALES FERRY MEDICAL GROUP, LLC

Laboratory Demographics

CLIA Number: 07D0711410

Facility Name: GALES FERRY MEDICAL GROUP, LLC

Facility Address:
1527 RT 12 P O BOX 355
GALES FERRY, CT
ZIP 06335
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Facility Phone Number: 860 464-7274

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1194859058

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 07D0711410
LAB Type Physician Office
Facility Name GALES FERRY MEDICAL GROUP, LLC
Street 1527 RT 12 P O BOX 355
City GALES FERRY
State CT
ZIP 06335
Phone 860 464-7274
CertificateType 3
CertificateEffectiveDate 2/20/2024
CertificateExpirationDate 2/19/2026
FacilityType PPMP

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This page was last updated on: 4/23/2024