Alliance Medical Group Of Greater Waterbury Pc

LBN: Alliance Medical Group Of Greater Waterbury Pc
Alliance Medical Group Of Greater Waterbury Pc is an health care organization with primary practice located at 1625 Straits Tpke , Middlebury CT 06762-1836. The organization recently has 15 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Alliance Medical Group Of Greater Waterbury Pc can be contacted via phone (203) 573-9512, or through Aresco, Mark via phone (203) 573-9512.

Contact Information

Primary practice address
1625 Straits Tpke Middlebury CT 06762-1836
Phone: (203) 573-9512
Fax: (203) 568-2904
Website:
Map and Directions
Authorized official contact:
Name: Aresco, Mark
Phone: (203) 573-9512

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X

Profile Details

NPI number 1750306015
LBN Legal business name Alliance Medical Group Of Greater Waterbury Pc
DBA Doing business as
Authorized official Aresco, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2006
Last updated Sep 3rd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750306015 NPPES
Connecticut MEDICAID 004213005
Connecticut MEDICAID 004263977
Connecticut MEDICAID 004203056
Connecticut MEDICAID 004213013
Connecticut MEDICAID 004167872

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