Active NPIOrganization

Crescent St OBGYN LLC

Nurse Practitioner in Middletown, Connecticut

NPI Number1184884355
Practice location
49 Crescent St, Middletown, CT 06457-3601
Fax
—
Last updated
June 11, 2008

Crescent St OBGYN LLC is a healthcare organization based in Middletown, CT. Crescent St OBGYN LLC practices in Middletown, CT. The NPI Number for Crescent St OBGYN LLC is 1184884355 and holds a License No. 002684 (CT). The current practice location address for Crescent St OBGYN LLC is 49 Crescent St, Middletown, CT 06457-3601 and can be reached out via phone at 860-344-9993.

Provider Profile Details

NPI Number
1184884355
Provider Name
Crescent St OBGYN LLC
Provider Entity Type
Organization
Address
49 Crescent St, Middletown, CT 06457-3601
Phone Number
860-344-9993
Primary Taxonomy
Nurse Practitioner · 363L00000X
Organization Subpart
No
Authorized Official
Dr. Julie S Flagg, MD · Owner · 860-344-9993
Provider Enumeration Date
June 11, 2008
Last Update Date
June 11, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
49 Crescent St
Middletown, CT 06457-3601
Zip
06457-3601
Phone Number
860-344-9993
Middletown, CT 06457Get directions →

Provider Business Mailing Address Details

Address
49 Crescent St
Middletown, CT 06457-3601
City
Middletown
State
CT
Zip
06457-3601
Phone Number
860-344-9993

License Information

License Number
002684
License State
CT
Taxonomy
Nurse Practitioner · 363L00000X · 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 Crescent St OBGYN LLC?

The NPI number of Crescent St OBGYN LLC is 1184884355. It was assigned on June 11, 2008 and is currently active in the NPPES registry.

What is the specialty of Crescent St OBGYN LLC?

Crescent St OBGYN LLC is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in CT under license number 002684.

Where does Crescent St OBGYN LLC practice?

The practice location is 49 Crescent St, Middletown, CT 06457-3601. The office can be reached at 860-344-9993 (phone).

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 1184884355 directly on the NPPES registry website.

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