Active NPIOrganization

Eastern Connecticut Medical Professionals Foundation INC

Family Medicine in Manchester, Connecticut

NPI Number1770557712
Practice location
71 Haynes St, Miller Bldg, Floor G, Manchester, CT 06040-4131
Fax
860-533-2975
Last updated
October 3, 2013

Eastern Connecticut Medical Professionals Foundation INC is a healthcare organization based in Manchester, CT. Eastern Connecticut Medical Professionals Foundation INC practices in Manchester, CT. The NPI Number for Eastern Connecticut Medical Professionals Foundation INC is 1770557712. The current practice location address for Eastern Connecticut Medical Professionals Foundation INC is 71 Haynes St, Miller Bldg, Floor G, Manchester, CT 06040-4131 and can be reached out via phone at 860-533-2981 and via fax at 860-533-2975.

Provider Profile Details

NPI Number
1770557712
Provider Name
Eastern Connecticut Medical Professionals Foundation INC
Provider Entity Type
Organization
Address
71 Haynes St, Miller Bldg, Floor G, Manchester, CT 06040-4131
Phone Number
860-533-2981
Fax Number
860-533-2975
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Peter J Karl · President & Ceo · 860-646-1222
Other Names
Eastern CT Medical Professionals (Doing Business As)
Provider Enumeration Date
February 15, 2006
Last Update Date
October 3, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
71 Haynes St
Miller Bldg, Floor G
Manchester, CT 06040-4131
Zip
06040-4131
Phone Number
860-533-2981
Fax Number
860-533-2975
Manchester, CT 06040Get directions →

Provider Business Mailing Address Details

Address
71 Haynes St
Miller Bldg, Floor G
Manchester, CT 06040-4131
City
Manchester
State
CT
Zip
06040-4131
Phone Number
860-533-2981
Fax Number
860-533-2975

License Information

Taxonomy (1)
Internal Medicine · 207R00000X
Taxonomy (3)
Internal Medicine, Gastroenterology · 207RG0100X
Taxonomy (4)
Surgery · 208600000X
Taxonomy (5)
Hospitalist · 208M00000X
Taxonomy (6)
Physician Assistant, Medical · 363AM0700X
Taxonomy (7)
Nurse Practitioner · 363L00000X
Taxonomy (8)
Orthopaedic Surgery · 207X00000X
Taxonomy (9)
· 2086S0129X
License State (11)
CT
Taxonomy (11)
Counselor, Professional · 101YP2500X
License State (12)
CT
Taxonomy (12)
Marriage & Family Therapist · 106H00000X
License State (14)
CT
Taxonomy (14)
Social Worker, Clinical · 1041C0700X
Taxonomy (15)
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 Eastern Connecticut Medical Professionals Foundation INC?

The NPI number of Eastern Connecticut Medical Professionals Foundation INC is 1770557712. It was assigned on February 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Eastern Connecticut Medical Professionals Foundation INC?

Eastern Connecticut Medical Professionals Foundation INC is registered under the primary taxonomy Family Medicine (code 207Q00000X).

Where does Eastern Connecticut Medical Professionals Foundation INC practice?

The practice location is 71 Haynes St, Miller Bldg, Floor G, Manchester, CT 06040-4131. The office can be reached at 860-533-2981 (phone) or 860-533-2975 (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 1770557712 directly on the NPPES registry website.

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