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Shoreline Medical Associates Llc
Family Nurse Practitioner in Madison, Connecticut
NPI 1497750798

Shoreline Medical Associates Llc is a Family Nurse Practitioner based in Madison, CT and is specialized in Family. Shoreline Medical Associates Llc practices in Madison, CT. The NPI Number for Shoreline Medical Associates Llc is 1497750798 and holds a License No. (Connecticut).

The current practice location address for Shoreline Medical Associates Llc is 1353 Boston Post Rd, Madison, CT and can be reached out via phone at 203-245-4933 and via fax at 203-245-4399.

Location: 1353 Boston Post Rd, Madison, CT, 06443-3445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497750798
Provider Name
Shoreline Medical Associates Llc
Credential
Provider Entity Type
Organization
Address
1353 Boston Post Rd, Madison, CT, 06443-3445
Phone Number
203-245-4933
Fax Number
203-245-4399
Provider Enumeration Date
06/15/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001222280 05 CT
001378422 05 CT
001421916 05 CT
institution
Provider Business Practice Location Address Details
Address
1353 Boston Post Rd
City
Madison
State
Connecticut
Zip
06443-3445
Phone Number
203-245-4933
Fax Number
203-245-4399
person
Provider Business Mailing Address Details
Address
1353 Boston Post Rd
City
Madison
State
Connecticut
Zip
06443-3445
Phone Number
203-245-4933
Fax Number
203-245-4399
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
006159 (Connecticut)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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