Active NPIOrganization

Internal Medicine Of Guilford LLC

Internal Medicine in Guilford, Connecticut

NPI Number1457688020
Practice location
96A Broad St, Guilford, CT 06437-2635
Fax
—
Last updated
September 19, 2019

Internal Medicine Of Guilford LLC is a healthcare organization based in Guilford, CT. Internal Medicine Of Guilford LLC practices in Guilford, CT. The NPI Number for Internal Medicine Of Guilford LLC is 1457688020 and holds a License No. 044810 (CT). The current practice location address for Internal Medicine Of Guilford LLC is 96A Broad St, Guilford, CT 06437-2635 and can be reached out via phone at 203-453-3621.

Provider Profile Details

NPI Number
1457688020
Provider Name
Internal Medicine Of Guilford LLC
Provider Entity Type
Organization
Address
96A Broad St, Guilford, CT 06437-2635
Phone Number
203-453-3621
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Dr. Charles Evans Glass, MD · Single Member Of LLC · 203-500-2080
Provider Enumeration Date
November 3, 2009
Last Update Date
September 19, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
96A Broad St
Guilford, CT 06437-2635
Zip
06437-2635
Phone Number
203-453-3621
Guilford, CT 06437Get directions →

Provider Business Mailing Address Details

Address
96A Broad St
Guilford, CT 06437-2635
City
Guilford
State
CT
Zip
06437-2635
Phone Number
203-453-3621
Fax Number
855-736-5997

License Information

License Number
044810
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 Internal Medicine Of Guilford LLC?

The NPI number of Internal Medicine Of Guilford LLC is 1457688020. It was assigned on November 3, 2009 and is currently active in the NPPES registry.

What is the specialty of Internal Medicine Of Guilford LLC?

Internal Medicine Of Guilford LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 044810.

Where does Internal Medicine Of Guilford LLC practice?

The practice location is 96A Broad St, Guilford, CT 06437-2635. The office can be reached at 203-453-3621 (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 1457688020 directly on the NPPES registry website.

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