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ALLIANCE MEDICAL GROUP INC NPI 1316273071


NPI Information

NPI: 1316273071
Provider Name: ALLIANCE MEDICAL GROUP, INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 07D1077431

Address:
1625 STRAITS TURNPIKE
SUITE 110
MIDDLEBURY, CT
ZIP 06762
Phone: (203) 758-8107
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ALLIANCE MEDICAL GROUP, INC is an internal medicine in Middlebury, 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. ALLIANCE MEDICAL GROUP, INC NPI is 1316273071. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1625 STRAITS TURNPIKE
SUITE 110
MIDDLEBURY, CT
ZIP 06762-613
Phone: (203) 758-8107
Fax: (203) 575-5226

The provider's authorized official is David Pizzuto .
The authorized official title is Vice President Of Medical Services and has the following contact phone number (203) 573-9512.

The CLIA number assigned to this NPI record is 07D1077431 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2009 and was last updated on 3/31/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, RegisteredNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
3207RI0200XInternal MedicineInfectious DiseaseNo
4207RP1001XInternal MedicinePulmonary DiseaseNo
5207RR0500XInternal MedicineRheumatologyNo
6207RS0012XInternal MedicineSleep MedicineNo
7208000000XPediatricsNo
8208600000XSurgeryNo
9208M00000XHospitalistNo
10363A00000XPhysician AssistantNo
11363LA2200XNurse PractitionerAdult HealthNo
12363LF0000XNurse PractitionerFamilyNo
13207R00000XInternal MedicineCONNECTICUTNo
14207QG0300XFamily MedicineGeriatric Medicine53369CONNECTICUTNo
15207R00000XInternal 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: 5/5/2024

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.