Branhaven Medical Group LLC
Internal Medicine in Branford, Connecticut
1558303107- Practice location
- 251 W Main St, Lakeview Center, Branford, CT 06405-4047
- Phone
- 203-481-0077
- Fax
- 203-481-0066
- Last updated
- August 22, 2020
Branhaven Medical Group LLC is a healthcare organization based in Branford, CT. Branhaven Medical Group LLC practices in Branford, CT. The NPI Number for Branhaven Medical Group LLC is 1558303107 and holds a License No. 032669 (CT). The current practice location address for Branhaven Medical Group LLC is 251 W Main St, Lakeview Center, Branford, CT 06405-4047 and can be reached out via phone at 203-481-0077 and via fax at 203-481-0066.
Provider Profile Details
- NPI Number
- 1558303107
- Provider Name
- Branhaven Medical Group LLC
- Provider Entity Type
- Organization
- Address
- 251 W Main St, Lakeview Center, Branford, CT 06405-4047
- Phone Number
- 203-481-0077
- Fax Number
- 203-481-0066
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Prathibha Kumar, MD · President · 203-481-0077
- Provider Enumeration Date
- June 11, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 251 W Main St
Lakeview Center
Branford, CT 06405-4047 - City
- Branford
- State
- Connecticut
- Zip
- 06405-4047
- Phone Number
- 203-481-0077
- Fax Number
- 203-481-0066
Provider Business Mailing Address Details
- Address
- 251 W Main St
Lakeview Center
Branford, CT 06405-4047 - City
- Branford
- State
- CT
- Zip
- 06405-4047
- Phone Number
- 203-481-0077
- Fax Number
- 203-481-0066
License Information
- License Number
- 032669
- License State
- CT
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Branhaven Medical Group LLC?
The NPI number of Branhaven Medical Group LLC is 1558303107. It was assigned on June 11, 2006 and is currently active in the NPPES registry.
What is the specialty of Branhaven Medical Group LLC?
Branhaven Medical Group LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 032669.
Where does Branhaven Medical Group LLC practice?
The practice location is 251 W Main St, Lakeview Center, Branford, CT 06405-4047. The office can be reached at 203-481-0077 (phone) or 203-481-0066 (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 1558303107 directly on the NPPES registry website.