THE HOPE CLINIC LLC NPI 1255383907

NPI Information

  • NPI: 1255383907
  • Provider Name: THE HOPE CLINIC, LLC
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Address: 10 N MAIN ST
    SUITE 210
    BRISTOL, CT
    ZIP 06010
  • Phone: (860) 589-4673

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NPI Details

THE HOPE CLINIC, LLC is a hematology and oncology internal medicine in Bristol, CT. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. THE HOPE CLINIC, LLC NPI is 1255383907. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10 N MAIN ST
SUITE 210
BRISTOL, CT
ZIP 06010-102
Phone: (860) 589-4673
Fax: (860) 589-6124

The provider's authorized official is Virginia M Tjan-wettstein .
The authorized official title is Physician/owner and has the following contact phone number (860) 589-4673.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 9/4/2007.

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
1207RH0003XInternal MedicineHematology & OncologyCONNECTICUTYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15114720001MEDICARE NSCCONNECTICUT
2C03196MEDICARE 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: 11/21/2025

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