Active NPIOrganization

Trucare Management CT PC

Family Medicine in Mystic, Connecticut

NPI Number1356249411
Practice location
44 Maritime Dr, Mystic, CT 06355-1958
Fax
—
Last updated
October 28, 2026

Trucare Management CT PC is a healthcare organization based in Mystic, CT. Trucare Management CT PC practices in Mystic, CT. The NPI Number for Trucare Management CT PC is 1356249411. The current practice location address for Trucare Management CT PC is 44 Maritime Dr, Mystic, CT 06355-1958 and can be reached out via phone at 212-734-6621.

Provider Profile Details

NPI Number
1356249411
Provider Name
Trucare Management CT PC
Provider Entity Type
Organization
Address
44 Maritime Dr, Mystic, CT 06355-1958
Phone Number
212-734-6621
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Waseem Ghannam · Owner · 704-231-4571
Provider Enumeration Date
October 28, 2026
Last Update Date
October 28, 2026
Certification Date
October 28, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
44 Maritime Dr
Mystic, CT 06355-1958
City
Mystic
Zip
06355-1958
Phone Number
212-734-6621
Mystic, CT 06355Get directions →

Provider Business Mailing Address Details

Address
1999 Cedarbridge Ave Ste 1A
Lakewood, NJ 08701-7048
City
Lakewood
State
NJ
Zip
08701-7048

License Information

Taxonomy
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 Trucare Management CT PC?

The NPI number of Trucare Management CT PC is 1356249411. It was assigned on October 28, 2026 and is currently active in the NPPES registry.

What is the specialty of Trucare Management CT PC?

Trucare Management CT PC is registered under the primary taxonomy Family Medicine (code 207Q00000X).

Where does Trucare Management CT PC practice?

The practice location is 44 Maritime Dr, Mystic, CT 06355-1958. The office can be reached at 212-734-6621 (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 1356249411 directly on the NPPES registry website.

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