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SOUTHEASTERN PULMONARY ASSOC. PC NPI 1295754273


NPI Information

NPI: 1295754273
Provider Name: SOUTHEASTERN PULMONARY ASSOC. PC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
155 MONTAUK AVENUE
NEW LONDON, CT
ZIP 06320
Phone: (860) 444-2223
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SOUTHEASTERN PULMONARY ASSOC. PC is a pulmonary disease internal medicine in New London, CT. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. SOUTHEASTERN PULMONARY ASSOC. PC NPI is 1295754273. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

155 MONTAUK AVENUE
NEW LONDON, CT
ZIP 06320
Phone: (860) 444-2223
Fax: (860) 440-3153

The provider's authorized official is John S Urbanetti .
The authorized official title is Ceo and has the following contact phone number (860) 444-2223.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 1/20/2016.


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
1207RP1001XInternal MedicinePulmonary Disease022057CONNECTICUTNo
2207RP1001XInternal MedicinePulmonary Disease022011CONNECTICUTYes

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
1B83788MEDICARE UPIN
2022057OTHERCONNECTICUTLIC DR ROBERT KELTNER
3A66143MEDICARE UPIN
42990000061MEDICARE ID-TYPE UNSPECIFIEDDR ROBERT KELTNER
5C00196MEDICARE PINCONNECTICUT
61220110MEDICAIDCONNECTICUT
71220573MEDICAIDCONNECTICUT

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

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