Cleanslate Medical Group Of Connecticut LLC
Internal Medicine, Addiction Medicine in Hartford, Connecticut
1073057071- Practice location
- 85 Gillett St, Hartford, CT 06105-2630
- Phone
- 615-425-0220
- Fax
- 413-727-3619
- Last updated
- March 23, 2023
Cleanslate Medical Group Of Connecticut LLC is a healthcare organization based in Hartford, CT. Cleanslate Medical Group Of Connecticut LLC practices in Hartford, CT. The NPI Number for Cleanslate Medical Group Of Connecticut LLC is 1073057071. The current practice location address for Cleanslate Medical Group Of Connecticut LLC is 85 Gillett St, Hartford, CT 06105-2630 and can be reached out via phone at 615-425-0220 and via fax at 413-727-3619.
Provider Profile Details
- NPI Number
- 1073057071
- Provider Name
- Cleanslate Medical Group Of Connecticut LLC
- Provider Entity Type
- Organization
- Address
- 85 Gillett St, Hartford, CT 06105-2630
- Phone Number
- 615-425-0220
- Fax Number
- 413-727-3619
- Primary Taxonomy
- Internal Medicine, Addiction Medicine · 207RA0401X
- Organization Subpart
- No
- Authorized Official
- Robert Hutchison · Cfo · 615-425-0220
- Provider Enumeration Date
- December 9, 2016
- Last Update Date
- March 23, 2023
- Certification Date
- March 23, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 85 Gillett St
Hartford, CT 06105-2630 - City
- Hartford
- State
- Connecticut
- Zip
- 06105-2630
- Phone Number
- 615-425-0220
- Fax Number
- 413-727-3619
Provider Business Mailing Address Details
- Address
- 8 Cadillac Dr Ste 180
Brentwood, TN 37027-5393 - City
- Brentwood
- State
- TN
- Zip
- 37027-5393
- Phone Number
- 615-425-0220
- Fax Number
- 413-727-3619
License Information
- Taxonomy (1)
- Internal Medicine · 207R00000X
- Taxonomy (2)
- Internal Medicine, Addiction Medicine · 207RA0401X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine, Addiction Medicine providers near Hartford, CT
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- Emily Perriello, PHARMDPharmacist · NPI 1073413340
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Frequently Asked Questions
What is the NPI number of Cleanslate Medical Group Of Connecticut LLC?
The NPI number of Cleanslate Medical Group Of Connecticut LLC is 1073057071. It was assigned on December 9, 2016 and is currently active in the NPPES registry.
What is the specialty of Cleanslate Medical Group Of Connecticut LLC?
Cleanslate Medical Group Of Connecticut LLC is registered under the primary taxonomy Internal Medicine, Addiction Medicine (code 207RA0401X).
Where does Cleanslate Medical Group Of Connecticut LLC practice?
The practice location is 85 Gillett St, Hartford, CT 06105-2630. The office can be reached at 615-425-0220 (phone) or 413-727-3619 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073057071 directly on the NPPES registry website.