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GALES FERRY MEDICAL GROUP LLC NPI 1194859058


NPI Information

NPI: 1194859058
Provider Name: GALES FERRY MEDICAL GROUP LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 07D0711410

Address:
1527 ROUTE 12
GALES FERRY, CT
ZIP 06335
Phone: (860) 464-7274
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GALES FERRY MEDICAL GROUP LLC is an internal medicine in Gales Ferry, 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. GALES FERRY MEDICAL GROUP LLC NPI is 1194859058. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1527 ROUTE 12
GALES FERRY, CT
ZIP 06335-800
Phone: (860) 464-7274
Fax: (860) 464-7404

The provider's authorized official is John J Hennessey .
The authorized official title is Partner and has the following contact phone number (860) 464-7253.

The CLIA number assigned to this NPI record is 07D0711410 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/15/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes

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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