Active NPIOrganization

Westside Medical Group

Internal Medicine in Waterbury, Connecticut

NPI Number1083724967
Practice location
714 Chase Parkway, Suite 6, Waterbury, CT 06708-3939
Fax
203-756-3628
Last updated
January 23, 2012

Westside Medical Group is a healthcare organization based in Waterbury, CT. Westside Medical Group practices in Waterbury, CT. The NPI Number for Westside Medical Group is 1083724967. The current practice location address for Westside Medical Group is 714 Chase Parkway, Suite 6, Waterbury, CT 06708-3939 and can be reached out via phone at 203-755-4577 and via fax at 203-756-3628.

Provider Profile Details

NPI Number
1083724967
Provider Name
Westside Medical Group
Provider Entity Type
Organization
Address
714 Chase Parkway, Suite 6, Waterbury, CT 06708-3939
Phone Number
203-755-4577
Fax Number
203-756-3628
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Dr. Mark Lawrence Kraus, MD · President · 203-755-4577
Provider Enumeration Date
August 30, 2006
Last Update Date
January 23, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
714 Chase Parkway
Suite 6
Waterbury, CT 06708-3939
Zip
06708-3939
Phone Number
203-755-4577
Fax Number
203-756-3628
Waterbury, CT 06708Get directions →

Provider Business Mailing Address Details

Address
714 Chase Parkway
Suite 6
Waterbury, CT 06708-3939
City
Waterbury
State
CT
Zip
06708-3939
Phone Number
203-755-4577
Fax Number
203-756-3628

License Information

Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Westside Medical Group?

The NPI number of Westside Medical Group is 1083724967. It was assigned on August 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Westside Medical Group?

Westside Medical Group is registered under the primary taxonomy Internal Medicine (code 207R00000X).

Where does Westside Medical Group practice?

The practice location is 714 Chase Parkway, Suite 6, Waterbury, CT 06708-3939. The office can be reached at 203-755-4577 (phone) or 203-756-3628 (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 1083724967 directly on the NPPES registry website.

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