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INTERANAL MEDICINE AND PEDIATRIC ASSOCIATES LLC NPI 1124117908


NPI Information

NPI: 1124117908
Provider Name: INTERANAL MEDICINE AND PEDIATRIC ASSOCIATES LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
15 PALOMBA DR
SUITE 13
ENFIELD, CT
ZIP 06082
Phone: (860) 749-2251
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INTERANAL MEDICINE AND PEDIATRIC ASSOCIATES LLC is an internal medicine in Enfield, CT. The provider is 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. INTERANAL MEDICINE AND PEDIATRIC ASSOCIATES LLC NPI is 1124117908. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15 PALOMBA DR
SUITE 13
ENFIELD, CT
ZIP 06082-888
Phone: (860) 749-2251
Fax: (860) 745-7747

The provider's authorized official is Joyce Fong-breton .
The authorized official title is Owner and has the following contact phone number (860) 749-2251.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 4/20/2008.


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
1208000000XPediatricsCONNECTICUTNo
2207R00000XInternal MedicineCONNECTICUTYes

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
1=========OTHERCONNECTICUTGROUP TAX ID #
2CK7691MEDICARE PIN
3C02886MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUTGROUP NUMBER

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

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.