Active NPIIndividual provider

Dr. Benjamin N Larsen, DO

Internal Medicine in Derby, Connecticut

NPI Number1780333690
Practice location
130 Division St, Derby, CT 06418-1326
Fax
203-732-1332
Last updated
June 11, 2026

Benjamin Nicholas Anton Larsen is an Internal Medicine based in Derby, CT. Benjamin Nicholas Anton Larsen practices in Derby, CT and has the professional credentials of DO. The NPI Number for Benjamin Nicholas Anton Larsen is 1780333690 and holds a License No. 84796 (CT). The current practice location address for Benjamin Nicholas Anton Larsen is 130 Division St, Derby, CT 06418-1326 and can be reached out via phone at 203-732-1330 and via fax at 203-732-1332.

Provider Profile Details

NPI Number
1780333690
Provider Name
Benjamin Nicholas Anton Larsen
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
130 Division St, Derby, CT 06418-1326
Phone Number
203-732-1330
Fax Number
203-732-1332
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
March 20, 2022
Last Update Date
June 11, 2026
Certification Date
June 11, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Division St
Derby, CT 06418-1326
City
Derby
Zip
06418-1326
Phone Number
203-732-1330
Fax Number
203-732-1332
Derby, CT 06418Get directions →

Provider Business Mailing Address Details

Address
67 Maple Ave
Derby, CT 06418-1328
City
Derby
State
CT
Zip
06418-1328

License Information

License Number
84796
License State
CT
Taxonomy
Internal Medicine · 207R00000X · 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. Benjamin N Larsen, DO?

The NPI number of Dr. Benjamin N Larsen, DO is 1780333690. It was assigned on March 20, 2022 and is currently active in the NPPES registry.

What is the specialty of Dr. Benjamin N Larsen, DO?

Dr. Benjamin N Larsen, DO is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 84796.

Where does Dr. Benjamin N Larsen, DO practice?

The practice location is 130 Division St, Derby, CT 06418-1326. The office can be reached at 203-732-1330 (phone) or 203-732-1332 (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 1780333690 directly on the NPPES registry website.

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