Middlesex Hospital
Nurse Practitioner, Family in Middletown, CT. Organization (NPI-2).
NPI number1972563138
StatusActive
Last updated in NPPESApr 3, 2019
Details
- NPI
- 1972563138
- Entity type
- Organization (NPI-2)
- Legal business name
- Middlesex Hospital
- Organization subpart
- Yes
- Enumeration date
- Mar 23, 2006
- Last updated
- Apr 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | CT | Yes |
| 207P00000X | Emergency Medicine | – | CT | |
| 207Q00000X | Family Medicine | – | CT | |
| 207QA0505X | Family Medicine, Adult Medicine | 53426 | CT | |
| 207R00000X | Internal Medicine | – | CT | |
| 207RC0200X | Internal Medicine, Critical Care Medicine | – | CT | |
| 207RI0200X | Internal Medicine, Infectious Disease | – | CT | |
| 207RP1001X | Internal Medicine, Pulmonary Disease | – | CT | |
| 2084N0400X | Psychiatry & Neurology, Neurology | – | CT | |
| 208M00000X | Hospitalist | – | CT | |
| 363AM0700X | Physician Assistant, Medical | – | CT | |
| 363L00000X | Nurse Practitioner | 001743 | CT | |
| 363LA2100X | Nurse Practitioner, Acute Care | – | CT | |
| 363LA2200X | Nurse Practitioner, Adult Health | – | CT |
Other names
- Middlesex Hospital Dba Middlesex Hospital Physician Services (Doing Business As)
Practice location
80 S Main StMiddletown, CT 06457-3648
Phone 860-358-6394 · Fax 860-358-6094
Mailing address
80 S Main StMiddletown, CT 06457-3648
Phone 860-358-6394 · Fax 860-358-6094
Authorized official
Vincent G. Capece
Ceo
8603586140
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