Integrated Medical Of New Haven, LLC
Internal Medicine, Sports Medicine in New Haven, Connecticut
1760714661- Practice location
- 111 Park St, Suite 1C, New Haven, CT 06511-5412
- Phone
- 203-773-1935
- Fax
- 203-773-0039
- Last updated
- February 3, 2010
Integrated Medical Of New Haven, LLC is a healthcare organization based in New Haven, CT. Integrated Medical Of New Haven, LLC practices in New Haven, CT. The NPI Number for Integrated Medical Of New Haven, LLC is 1760714661 and holds a License No. 031959 (CT). The current practice location address for Integrated Medical Of New Haven, LLC is 111 Park St, Suite 1C, New Haven, CT 06511-5412 and can be reached out via phone at 203-773-1935 and via fax at 203-773-0039.
Provider Profile Details
- NPI Number
- 1760714661
- Provider Name
- Integrated Medical Of New Haven, LLC
- Provider Entity Type
- Organization
- Address
- 111 Park St, Suite 1C, New Haven, CT 06511-5412
- Phone Number
- 203-773-1935
- Fax Number
- 203-773-0039
- Primary Taxonomy
- Internal Medicine, Sports Medicine · 207RS0010X
- Organization Subpart
- No
- Authorized Official
- Dr. Michael Lance Gerstenfeld, MD · Manager · 203-773-1935
- Provider Enumeration Date
- February 3, 2010
- Last Update Date
- February 3, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 Park St
Suite 1C
New Haven, CT 06511-5412 - City
- New Haven
- State
- Connecticut
- Zip
- 06511-5412
- Phone Number
- 203-773-1935
- Fax Number
- 203-773-0039
Provider Business Mailing Address Details
- Address
- 111 Park St
Suite 1C
New Haven, CT 06511-5412 - City
- New Haven
- State
- CT
- Zip
- 06511-5412
- Phone Number
- 203-773-1935
- Fax Number
- 203-773-0039
License Information
- License Number
- 031959
- License State
- CT
- Taxonomy
- Internal Medicine, Sports Medicine · 207RS0010X · 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 Integrated Medical Of New Haven, LLC?
The NPI number of Integrated Medical Of New Haven, LLC is 1760714661. It was assigned on February 3, 2010 and is currently active in the NPPES registry.
What is the specialty of Integrated Medical Of New Haven, LLC?
Integrated Medical Of New Haven, LLC is registered under the primary taxonomy Internal Medicine, Sports Medicine (code 207RS0010X), licensed in CT under license number 031959.
Where does Integrated Medical Of New Haven, LLC practice?
The practice location is 111 Park St, Suite 1C, New Haven, CT 06511-5412. The office can be reached at 203-773-1935 (phone) or 203-773-0039 (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 1760714661 directly on the NPPES registry website.