Stony Creek Medical Group, LLC
Internal Medicine in Orange, Connecticut
1609204122- Practice location
- 236 Boston Post RD, Orange, CT 06477-3236
- Phone
- 203-815-1054
- Fax
- 203-298-9874
- Last updated
- October 22, 2013
Stony Creek Medical Group, LLC is a healthcare organization based in Orange, CT. Stony Creek Medical Group, LLC practices in Orange, CT. The NPI Number for Stony Creek Medical Group, LLC is 1609204122 and holds a License No. 042996 (CT). The current practice location address for Stony Creek Medical Group, LLC is 236 Boston Post RD, Orange, CT 06477-3236 and can be reached out via phone at 203-815-1054 and via fax at 203-298-9874.
Provider Profile Details
- NPI Number
- 1609204122
- Provider Name
- Stony Creek Medical Group, LLC
- Provider Entity Type
- Organization
- Address
- 236 Boston Post RD, Orange, CT 06477-3236
- Phone Number
- 203-815-1054
- Fax Number
- 203-298-9874
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Mayumi Deanna Noda Young · Executive Director · 203-483-4580
- Provider Enumeration Date
- October 18, 2013
- Last Update Date
- October 22, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 236 Boston Post RD
Orange, CT 06477-3236 - City
- Orange
- State
- Connecticut
- Zip
- 06477-3236
- Phone Number
- 203-815-1054
- Fax Number
- 203-298-9874
Provider Business Mailing Address Details
- Address
- 6 Business Park Dr
Suite 302
Branford, CT 06405-2988 - City
- Branford
- State
- CT
- Zip
- 06405-2988
- Phone Number
- 203-980-1359
- Fax Number
- 203-483-4581
License Information
- License Number (1)
- 042996
- License State (1)
- CT
- Taxonomy (1)
- Emergency Medicine · 207P00000X
- License Number (2)
- 041818
- License State (2)
- CT
- Taxonomy (2)
- Pediatrics · 208000000X
- License Number (3)
- 041818
- License State (3)
- CT
- Taxonomy (3)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Orange, CT
View all Internal Medicine providers in Orange →- David Kaminsky, MDInternal Medicine · NPI 1710924865
- Dr. Abisola O Afolalu, MDInternal Medicine · NPI 1992847644
- Dr. Attilio V Granata, MD, MBA, FACPInternal Medicine · NPI 1831305226
- Dr. James W Marshall Jr., DOInternal Medicine · NPI 1871597310
- Gordon S Hill, MDInternal Medicine · NPI 1316563380
- Hannah G Hill, MDInternal Medicine · NPI 1477041093
Frequently Asked Questions
What is the NPI number of Stony Creek Medical Group, LLC?
The NPI number of Stony Creek Medical Group, LLC is 1609204122. It was assigned on October 18, 2013 and is currently active in the NPPES registry.
What is the specialty of Stony Creek Medical Group, LLC?
Stony Creek Medical Group, LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 042996.
Where does Stony Creek Medical Group, LLC practice?
The practice location is 236 Boston Post RD, Orange, CT 06477-3236. The office can be reached at 203-815-1054 (phone) or 203-298-9874 (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 1609204122 directly on the NPPES registry website.