Active NPIOrganization

Connecticut Lifestyle Medicine

Family Medicine in Middletown, Connecticut

NPI Number1619527959
Practice location
955 S Main St, Middletown, CT 06457-5153
Fax
—
Last updated
August 21, 2024

Connecticut Lifestyle Medicine is a healthcare organization based in Middletown, CT. Connecticut Lifestyle Medicine practices in Middletown, CT. The NPI Number for Connecticut Lifestyle Medicine is 1619527959. The current practice location address for Connecticut Lifestyle Medicine is 955 S Main St, Middletown, CT 06457-5153 and can be reached out via phone at 516-993-2847.

Provider Profile Details

NPI Number
1619527959
Provider Name
Connecticut Lifestyle Medicine
Provider Entity Type
Organization
Address
955 S Main St, Middletown, CT 06457-5153
Phone Number
516-993-2847
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Catherine Orourke · Owner, Nurse · 860-788-6573
Provider Enumeration Date
September 18, 2019
Last Update Date
August 21, 2024
Certification Date
August 21, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
955 S Main St
Middletown, CT 06457-5153
Zip
06457-5153
Phone Number
516-993-2847
Middletown, CT 06457Get directions →

Provider Business Mailing Address Details

Address
955 S Main St # B201
Middletown, CT 06457-5153
City
Middletown
State
CT
Zip
06457-5153
Phone Number
860-788-6573

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 Connecticut Lifestyle Medicine?

The NPI number of Connecticut Lifestyle Medicine is 1619527959. It was assigned on September 18, 2019 and is currently active in the NPPES registry.

What is the specialty of Connecticut Lifestyle Medicine?

Connecticut Lifestyle Medicine is registered under the primary taxonomy Family Medicine (code 207Q00000X).

Where does Connecticut Lifestyle Medicine practice?

The practice location is 955 S Main St, Middletown, CT 06457-5153. The office can be reached at 516-993-2847 (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 1619527959 directly on the NPPES registry website.

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