Westside Medical Group in Waterbury - Internal Medicine
Westside Medical Group - NPI 1083724967
Westside Medical Group is a Internal Medicine in Waterbury, Connecticut. Westside Medical Group practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Westside Medical Group is 1083724967. The last update date is 2012-01-23.
Westside Medical Group's current location address is 714 Chase Parkway, Waterbury, Connecticut. You can contact this provider via phone number 2037554577 and fax number 2037563628. The mailing address for Westside Medical Group is 714 Chase Parkway, Waterbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Westside Medical Group |
|---|---|
| Address | 714 Chase Parkway, Waterbury, Connecticut |
| Phone Number | 2037554577 |
| Fax Number | 2037563628 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kraus Lawrence Mark |
| Credentials | MD |
| Telephone Number | 2037554577 |
NPI Number Detail
| NPI Number | 1083724967 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2012-01-23 |
Provider Mailing Address Detail
| Address | 714 Chase Parkway |
|---|---|
| City | Waterbury |
| State | Connecticut (CT) |
| Post Code | 67083939 |
| Phone Number | 2037554577 |
| Fax Number | 2037563628 |
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 |
|---|---|---|---|
| 4085800 | CT | -- | |
| 50WESTSIDECT01 | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Westside Medical Group by the Centers for Medicare & Medicaid Services?
The Westside Medical Group has been assigned the NPI (National Provider Identifier) 1083724967 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Westside Medical Group?
The Westside Medical Group is physically situated at 714 Chase Parkway, in the city of Waterbury, state of CT, with the postal code 67083939.
What is Westside Medical Group's area of expertise and its corresponding taxonomy classification?
The Westside Medical Group's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Westside Medical Group receive its 1083724967 assignment from the Centers for Medicare & Medicaid Services?
The Westside Medical Group was assigned its 1083724967 by the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date was the information pertaining to Westside Medical Group, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Westside Medical Group, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-01-23.