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STONY CREEK MEDICAL GROUP LLC NPI 1609204122


NPI Information

NPI: 1609204122
Provider Name: STONY CREEK MEDICAL GROUP, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
236 BOSTON POST RD
ORANGE, CT
ZIP 06477
Phone: (203) 815-1054
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STONY CREEK MEDICAL GROUP, LLC is an internal medicine in Orange, 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. STONY CREEK MEDICAL GROUP, LLC NPI is 1609204122. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

236 BOSTON POST RD
ORANGE, CT
ZIP 06477-236
Phone: (203) 815-1054
Fax: (203) 298-9874

The provider's authorized official is Mayumi Deanna Noda Young .
The authorized official title is Executive Director and has the following contact phone number (203) 483-4580.

The enumeration date for this NPI number is 10/18/2013 and was last updated on 10/22/2013.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine042996CONNECTICUTNo
2208000000XPediatrics041818CONNECTICUTNo
3207R00000XInternal Medicine041818CONNECTICUTYes

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

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