Geriatric Professional Group, Llc in Bridgeport - Internal Medicine
Geriatric Professional Group, Llc - NPI 1932295953
Geriatric Professional Group, Llc is a Internal Medicine in Bridgeport, Connecticut. Geriatric Professional Group, Llc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Geriatric Professional Group, Llc is 1932295953. The last update date is 2016-11-07.
Geriatric Professional Group, Llc's current location address is 4200 Park Ave, Bridgeport, Connecticut. You can contact this provider via phone number 2033656473 and fax number 2033961039. The mailing address for Geriatric Professional Group, Llc is 4200 Park Ave, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Geriatric Professional Group, Llc |
|---|---|
| Address | 4200 Park Ave, Bridgeport, Connecticut |
| Phone Number | 2033656473 |
| Fax Number | 2033961039 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Banoff H Andrew |
| Telephone Number | 2033656400 |
NPI Number Detail
| NPI Number | 1932295953 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2016-11-07 |
Provider Mailing Address Detail
| Address | 4200 Park Ave |
|---|---|
| City | Bridgeport |
| State | Connecticut (CT) |
| Post Code | 66041049 |
| Phone Number | 2033656473 |
| Fax Number | 2033961039 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9233 | CT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Geriatric Professional Group, Llc by the Centers for Medicare & Medicaid Services?
The Geriatric Professional Group, Llc has been issued the NPI (National Provider Identifier) 1932295953 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Geriatric Professional Group, Llc is physically located?
The Geriatric Professional Group, Llc is physically situated at the following address: 4200 Park Ave, Bridgeport, CT, 66041049.
What is the Geriatric Professional Group, Llc's specialty and taxonomy code?
The Geriatric Professional Group, Llc's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1932295953 to Geriatric Professional Group, Llc?
The Geriatric Professional Group, Llc received its 1932295953 assignment from the Centers for Medicare & Medicaid Services on 2006-10-05.
As of what date was the information regarding Geriatric Professional Group, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Geriatric Professional Group, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-11-07.