CONNECTICUT MEDICAL GROUP LLC NPI 1366504227

NPI Information

NPI: 1366504227
Provider Name: CONNECTICUT MEDICAL GROUP, LLC
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

Address:
2989 DIXWELL AVE
HAMDEN, CT
ZIP 06518
Phone: (203) 248-3013
Get Directions

CONNECTICUT MEDICAL GROUP, LLC is an allergy allergy immunology in Hamden, CT. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee CONNECTICUT MEDICAL GROUP, LLC NPI is 1366504227. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2989 DIXWELL AVE
HAMDEN, CT
ZIP 06518-501
Phone: (203) 248-3013
Fax: (203) 248-2878

The provider's authorized official is Richard Mangi .
The authorized official title is President and has the following contact phone number (203) 248-3013.

The enumeration date for this NPI number is 12/15/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207KA0200X	Allergy & Immunology	Allergy	Yes
2	207R00000X	Internal Medicine		X
3	207RA0201X	Internal Medicine	Allergy & Immunology	X
4	207RC0000X	Internal Medicine	Cardiovascular Disease	X
5	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	X
6	207RG0100X	Internal Medicine	Gastroenterology	X
7	207RP1001X	Internal Medicine	Pulmonary Disease	X
8	207RR0500X	Internal Medicine	Rheumatology	X
9	363LP2300X	Nurse Practitioner	Primary Care	X

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

NPI Synchronization or Removal

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