Active NPIIndividual providerSole proprietor

Dr. Geoffrey Etherington, MD

General Practice in Killingworth, Connecticut

NPI Number1689126336
Practice location
302 Rte 81, Killingworth, CT 06419
Fax
—
Last updated
October 28, 2016

Geoffrey Etherington is a General Practice based in Killingworth, CT. Geoffrey Etherington practices in Killingworth, CT and has the professional credentials of MD. The NPI Number for Geoffrey Etherington is 1689126336 and holds a License No. 019586 (CT). The current practice location address for Geoffrey Etherington is 302 Rte 81, Killingworth, CT 06419 and can be reached out via phone at 860-663-0224.

Provider Profile Details

NPI Number
1689126336
Provider Name
Geoffrey Etherington
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
302 Rte 81, Killingworth, CT 06419
Phone Number
860-663-0224
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 28, 2016
Last Update Date
October 28, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
302 Rte 81
Killingworth, CT 06419
Zip
06419
Phone Number
860-663-0224
Killingworth, CT 06419Get directions →

Provider Business Mailing Address Details

Address
302 Rte 81
Killingworth, CT 06419
City
Killingworth
State
CT
Zip
06419
Phone Number
860-663-0224

License Information

License Number (1)
019586
License State (1)
CT
License Number (2)
019586
License State (2)
CT
Taxonomy (2)
General Practice · 208D00000X · 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 Dr. Geoffrey Etherington, MD?

The NPI number of Dr. Geoffrey Etherington, MD is 1689126336. It was assigned on October 28, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Geoffrey Etherington, MD?

Dr. Geoffrey Etherington, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in CT under license number 019586.

Where does Dr. Geoffrey Etherington, MD practice?

The practice location is 302 Rte 81, Killingworth, CT 06419. The office can be reached at 860-663-0224 (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 1689126336 directly on the NPPES registry website.

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