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INTERNAL MEDICINE OF GUILFORD LLC NPI 1457688020


NPI Information

NPI: 1457688020
Provider Name: INTERNAL MEDICINE OF GUILFORD LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 07D2150285

Address:
96A BROAD ST
GUILFORD, CT
ZIP 06437
Phone: (203) 453-3621
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INTERNAL MEDICINE OF GUILFORD LLC is an internal medicine in Guilford, 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. INTERNAL MEDICINE OF GUILFORD LLC NPI is 1457688020. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

96A BROAD ST
GUILFORD, CT
ZIP 06437-635
Phone: (203) 453-3621

The provider's authorized official is Charles Evans Glass .
The authorized official title is Single Member Of Llc and has the following contact phone number (203) 500-2080.

The CLIA number assigned to this NPI record is 07D2150285 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2009 and was last updated on 9/19/2019.


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 Medicine044810CONNECTICUTYes

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
1044810OTHERCONNECTICUTLICENSE NUMBER
21184613705OTHERCONNECTICUTNPI

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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