Coastal Digestive Diseases Pc in New London - Adult Medicine
Coastal Digestive Diseases Pc - NPI 1053441147
Coastal Digestive Diseases Pc is a Adult Medicine in New London, Connecticut. Coastal Digestive Diseases Pc practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Coastal Digestive Diseases Pc is 1053441147. The last update date is 2011-12-07.
Coastal Digestive Diseases Pc's current location address is 234a Bank St, New London, Connecticut. You can contact this provider via phone number 8604420290 and fax number 8604422136. The mailing address for Coastal Digestive Diseases Pc is 234a Bank St, New London, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coastal Digestive Diseases Pc |
|---|---|
| Address | 234a Bank St, New London, Connecticut |
| Phone Number | 8604420290 |
| Fax Number | 8604422136 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ouellette S George |
| Credentials | M.D. |
| Telephone Number | 8604420290 |
NPI Number Detail
| NPI Number | 1053441147 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2011-12-07 |
Provider Mailing Address Detail
| Address | 234a Bank St |
|---|---|
| City | New London |
| State | Connecticut (CT) |
| Post Code | 63206054 |
| Phone Number | 8604420290 |
| Fax Number | 8604422136 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 3032224000 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Post Comment/ Review Below
What is the unique identifier code issued to Coastal Digestive Diseases Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Coastal Digestive Diseases Pc has been assigned the NPI (National Provider Identifier) 1053441147. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Coastal Digestive Diseases Pc is located?
The Coastal Digestive Diseases Pc is situated at the following address: 234A Bank St, New London, CT, 63206054.
What is Coastal Digestive Diseases Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Coastal Digestive Diseases Pc's specialized field of practice is Adult Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qa0505X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053441147 to Coastal Digestive Diseases Pc?
The Centers for Medicare & Medicaid Services assigned the 1053441147 to Coastal Digestive Diseases Pc on 2007-03-07.
As of what date were the details related to Coastal Digestive Diseases Pc most recently updated or revised?
The information pertaining to Coastal Digestive Diseases Pc, including its address, specialty, and other relevant details, was last updated or revised on 2011-12-07.
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