Internal Medicine Of East Haven PC
Internal Medicine in Branford, CT. Organization (NPI-2).
NPI number1790746337
StatusActive
Last updated in NPPESJun 11, 2026
Details
- NPI
- 1790746337
- Entity type
- Organization (NPI-2)
- Legal business name
- Internal Medicine Of East Haven PC
- Organization subpart
- No
- Enumeration date
- Mar 31, 2006
- Certification date
- Jun 11, 2026
- Last updated
- Jun 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 174400000X | Specialist | 024717 | CT | |
| 174400000X | Specialist | 030998 | CT | |
| 174400000X | Specialist | 024588 | CT |
Practice location
144 N Main St Ste 5Branford, CT 06405-3044
Phone 203-468-9775
Mailing address
144 N Main St Ste 5Branford, CT 06405-3044
Phone 203-468-9775
Authorized official
Mark Sherard Kasper
President
2034689775
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