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ASSOCIATED SPECIALISTS OF SOUTHEASTERN CONNECTICUT INC. NPI 1588844591


NPI Information

NPI: 1588844591
Provider Name: ASSOCIATED SPECIALISTS OF SOUTHEASTERN CONNECTICUT, INC.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
365 MONTAUK AVE
NEW LONDON, CT
ZIP 06320
Phone: (860) 442-0711
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ASSOCIATED SPECIALISTS OF SOUTHEASTERN CONNECTICUT, INC. is an internal medicine in New London, 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. ASSOCIATED SPECIALISTS OF SOUTHEASTERN CONNECTICUT, INC. NPI is 1588844591. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

365 MONTAUK AVE
NEW LONDON, CT
ZIP 06320-700
Phone: (860) 442-0711

The provider's authorized official is Pamela Kane .
The authorized official title is Vice President and has the following contact phone number (860) 442-0711.

The enumeration date for this NPI number is 11/7/2007 and was last updated on 5/8/2013.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
2207RI0200XInternal MedicineInfectious DiseaseNo
3363LA2200XNurse PractitionerAdult HealthNo
42080N0001XPediatricsNeonatal-Perinatal MedicineNo
5363LN0000XNurse PractitionerNeonatalNo
6363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
72084N0400XPsychiatry & NeurologyNeurologyNo
8207QS1201XFamily MedicineSleep MedicineNo
9363LA2100XNurse PractitionerAcute CareNo
10103G00000XClinical NeuropsychologistCONNECTICUTNo
11208100000XPhysical Medicine & RehabilitationNo
122084P0800XPsychiatry & NeurologyPsychiatryNo
13207Q00000XFamily MedicineNo
141041C0700XSocial WorkerClinicalCONNECTICUTNo
15207R00000XInternal MedicineYes

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
1C03826MEDICARE 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: 4/28/2024

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.