Active NPIOrganization

Genesis Medica LLC

Internal Medicine in Milford, Connecticut

NPI Number1295253110
Practice location
247 Broad Street, Milford, CT 06460-3267
Fax
203-693-2232
Last updated
November 15, 2017

Genesis Medica LLC is a healthcare organization based in Milford, CT. Genesis Medica LLC practices in Milford, CT. The NPI Number for Genesis Medica LLC is 1295253110 and holds a License No. 036883 (CT). The current practice location address for Genesis Medica LLC is 247 Broad Street, Milford, CT 06460-3267 and can be reached out via phone at 203-693-2230 and via fax at 203-693-2232.

Provider Profile Details

NPI Number
1295253110
Provider Name
Genesis Medica LLC
Provider Entity Type
Organization
Address
247 Broad Street, Milford, CT 06460-3267
Phone Number
203-693-2230
Fax Number
203-693-2232
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Sanjay Aggarwal, MD · Md/Owner · 203-865-3880
Provider Enumeration Date
August 30, 2017
Last Update Date
November 15, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
247 Broad Street
Milford, CT 06460-3267
Zip
06460-3267
Phone Number
203-693-2230
Fax Number
203-693-2232
Milford, CT 06460Get directions →

Provider Business Mailing Address Details

Address
1427 Chapel St
New Haven, CT 06511-4403
City
New Haven
State
CT
Zip
06511-4403
Phone Number
203-865-3880
Fax Number
203-624-5609

License Information

License Number
036883
License State
CT
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 Genesis Medica LLC?

The NPI number of Genesis Medica LLC is 1295253110. It was assigned on August 30, 2017 and is currently active in the NPPES registry.

What is the specialty of Genesis Medica LLC?

Genesis Medica LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 036883.

Where does Genesis Medica LLC practice?

The practice location is 247 Broad Street, Milford, CT 06460-3267. The office can be reached at 203-693-2230 (phone) or 203-693-2232 (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 1295253110 directly on the NPPES registry website.

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