Active NPIIndividual provider

Dr. Mitchell G Moffat, MD

Internal Medicine, Addiction Medicine in Rocky Hill, Connecticut

NPI Number1174798060
Practice location
546 Cromwell Ave Ste 101, Rocky Hill, CT 06067-1898
Fax
860-757-3875
Last updated
July 9, 2015

Mitchell Gene Moffat is an Internal Medicine, Addiction Medicine based in Rocky Hill, CT. Mitchell Gene Moffat practices in Rocky Hill, CT and has the professional credentials of MD. The NPI Number for Mitchell Gene Moffat is 1174798060 and holds a License No. 031530 (CT). The current practice location address for Mitchell Gene Moffat is 546 Cromwell Ave Ste 101, Rocky Hill, CT 06067-1898 and can be reached out via phone at 860-757-3874 and via fax at 860-757-3875.

Provider Profile Details

NPI Number
1174798060
Provider Name
Mitchell Gene Moffat
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
546 Cromwell Ave Ste 101, Rocky Hill, CT 06067-1898
Phone Number
860-757-3874
Fax Number
860-757-3875
Primary Taxonomy
Internal Medicine, Addiction Medicine · 207RA0401X
Sole Proprietor
No
Other Names
Dr. Mitchell Gene Moffat, MD (Professional Name)
Provider Enumeration Date
April 23, 2008
Last Update Date
July 9, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
546 Cromwell Ave Ste 101
Rocky Hill, CT 06067-1898
Zip
06067-1898
Phone Number
860-757-3874
Fax Number
860-757-3875
Rocky Hill, CT 06067Get directions →

Provider Business Mailing Address Details

Address
546 Cromwell Ave Ste 101
Rocky Hill, CT 06067-1898
City
Rocky Hill
State
CT
Zip
06067-1898
Phone Number
860-757-3874
Fax Number
860-757-3875

License Information

License Number (1)
031530
License State (1)
CT
Taxonomy (1)
Emergency Medicine · 207P00000X
License Number (2)
031530
License State (2)
CT
Taxonomy (2)
Family Medicine, Addiction Medicine · 207QA0401X
License Number (3)
031530
License State (3)
CT
Taxonomy (3)
Hospitalist · 208M00000X
License Number (4)
031530
License State (4)
CT
Taxonomy (4)
Family Medicine · 207Q00000X
License Number (5)
031530
License State (5)
CT
Taxonomy (5)
Internal Medicine, Addiction Medicine · 207RA0401X · 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 Dr. Mitchell G Moffat, MD?

The NPI number of Dr. Mitchell G Moffat, MD is 1174798060. It was assigned on April 23, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Mitchell G Moffat, MD?

Dr. Mitchell G Moffat, MD is registered under the primary taxonomy Internal Medicine, Addiction Medicine (code 207RA0401X), licensed in CT under license number 031530.

Where does Dr. Mitchell G Moffat, MD practice?

The practice location is 546 Cromwell Ave Ste 101, Rocky Hill, CT 06067-1898. The office can be reached at 860-757-3874 (phone) or 860-757-3875 (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 1174798060 directly on the NPPES registry website.

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