Active NPIOrganization

Holistic Family Medicine LLC

Family Medicine in Ridgefield, Connecticut

NPI Number1114269032
Practice location
430 Old Sib RD, Ridgefield, CT 06877-2335
Fax
855-798-2816
Last updated
March 18, 2013

Holistic Family Medicine LLC is a healthcare organization based in Ridgefield, CT. Holistic Family Medicine LLC practices in Ridgefield, CT. The NPI Number for Holistic Family Medicine LLC is 1114269032 and holds a License No. 000278 (CT). The current practice location address for Holistic Family Medicine LLC is 430 Old Sib RD, Ridgefield, CT 06877-2335 and can be reached out via phone at 203-826-3582 and via fax at 855-798-2816.

Provider Profile Details

NPI Number
1114269032
Provider Name
Holistic Family Medicine LLC
Provider Entity Type
Organization
Address
430 Old Sib RD, Ridgefield, CT 06877-2335
Phone Number
203-826-3582
Fax Number
855-798-2816
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Dr. Domenick John Masiello, DO · Owner · 203-826-3582
Provider Enumeration Date
March 18, 2013
Last Update Date
March 18, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
430 Old Sib RD
Ridgefield, CT 06877-2335
Zip
06877-2335
Phone Number
203-826-3582
Fax Number
855-798-2816
Ridgefield, CT 06877Get directions →

Provider Business Mailing Address Details

Address
430 Old Sib RD
Ridgefield, CT 06877-2335
City
Ridgefield
State
CT
Zip
06877-2335
Phone Number
203-826-3582
Fax Number
855-798-2816

License Information

License Number (1)
000278
License State (1)
CT
Taxonomy (1)
Neuromusculoskeletal Medicine & OMM · 204D00000X
License Number (2)
000278
License State (2)
CT
Taxonomy (2)
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 Holistic Family Medicine LLC?

The NPI number of Holistic Family Medicine LLC is 1114269032. It was assigned on March 18, 2013 and is currently active in the NPPES registry.

What is the specialty of Holistic Family Medicine LLC?

Holistic Family Medicine LLC is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 000278.

Where does Holistic Family Medicine LLC practice?

The practice location is 430 Old Sib RD, Ridgefield, CT 06877-2335. The office can be reached at 203-826-3582 (phone) or 855-798-2816 (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 1114269032 directly on the NPPES registry website.

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