Coastal Connecticut Medical Group PLLC
Internal Medicine in Stratford, CT. Organization (NPI-2).
NPI number1659859080
StatusActive
Last updated in NPPESJul 28, 2018
Details
- NPI
- 1659859080
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Connecticut Medical Group PLLC
- Organization subpart
- No
- Enumeration date
- Jul 28, 2018
- Last updated
- Jul 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 207RA0201X | Internal Medicine, Allergy & Immunology | – | – | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | |
| 207V00000X | Obstetrics & Gynecology | – | – | |
| 207ZC0006X | Pathology, Clinical Pathology | – | – | |
| 208000000X | Pediatrics | – | – | |
| 2085U0001X | Radiology, Diagnostic Ultrasound | – | – |
Other names
- Coastal Connecticut Medical Group (Doing Business As)
Practice location
2900 Main St Bldg Suite1fStratford, CT 06614-4946
Phone 203-658-6051 · Fax 203-658-6051
Mailing address
1 E Putnam AveGreenwich, CT 06830-5429
Phone 203-658-6051 · Fax 203-658-6051
Authorized official
Steven Murphy
Managing Partner
2036586051
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