Active NPIOrganization

Middlesex Hospital DBA Family Practice Group East Hampton

Family Medicine in East Hampton, Connecticut

NPI Number1114062114
Practice location
42 E High St, East Hampton, CT 06424-1099
Fax
860-344-6748
Last updated
March 6, 2019

Middlesex Hospital DBA Family Practice Group East Hampton is a healthcare organization based in East Hampton, CT. Middlesex Hospital DBA Family Practice Group East Hampton practices in East Hampton, CT. The NPI Number for Middlesex Hospital DBA Family Practice Group East Hampton is 1114062114. The current practice location address for Middlesex Hospital DBA Family Practice Group East Hampton is 42 E High St, East Hampton, CT 06424-1099 and can be reached out via phone at 860-344-6394 and via fax at 860-344-6748.

Provider Profile Details

NPI Number
1114062114
Provider Name
Middlesex Hospital DBA Family Practice Group East Hampton
Provider Entity Type
Organization
Address
42 E High St, East Hampton, CT 06424-1099
Phone Number
860-344-6394
Fax Number
860-344-6748
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
Yes
Parent Organization
Middlesex Hospital
Authorized Official
Marisa Pellerin · Credentialing/Enrollment · 860-358-4821
Other Names
Family Practice Group East Hampton (Doing Business As)
Provider Enumeration Date
February 20, 2007
Last Update Date
March 6, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
42 E High St
East Hampton, CT 06424-1099
Zip
06424-1099
Phone Number
860-344-6394
Fax Number
860-344-6748
East Hampton, CT 06424Get directions →

Provider Business Mailing Address Details

Address
90 S Main St
Middletown, CT 06457-3649
City
Middletown
State
CT
Zip
06457-3649
Phone Number
860-358-6394
Fax Number
860-358-6094

License Information

License State (1)
CT
Taxonomy (1)
Pediatrics · 208000000X
License State (2)
CT
Taxonomy (2)
Family Medicine, Geriatric Medicine · 207QG0300X
License State (3)
CT
Taxonomy (3)
Obstetrics & Gynecology · 207V00000X
License State (4)
CT
Taxonomy (4)
Physician Assistant, Medical · 363AM0700X
License State (5)
CT
Taxonomy (5)
Family Medicine · 207Q00000X · 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 Middlesex Hospital DBA Family Practice Group East Hampton?

The NPI number of Middlesex Hospital DBA Family Practice Group East Hampton is 1114062114. It was assigned on February 20, 2007 and is currently active in the NPPES registry.

What is the specialty of Middlesex Hospital DBA Family Practice Group East Hampton?

Middlesex Hospital DBA Family Practice Group East Hampton is registered under the primary taxonomy Family Medicine (code 207Q00000X).

Where does Middlesex Hospital DBA Family Practice Group East Hampton practice?

The practice location is 42 E High St, East Hampton, CT 06424-1099. The office can be reached at 860-344-6394 (phone) or 860-344-6748 (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 1114062114 directly on the NPPES registry website.

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