Sportmed

LBN: Bertacchi & Associates, Pc
Sportmed is an health care organization with primary practice located at 276 High Ridge Rd , Stamford CT 06905-3013. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Bertacchi & Associates, Pc can be contacted via phone (203) 359-2042, or through Bertacchi, Peter La Roy via phone (203) 359-2042.

Contact Information

Primary practice address
276 High Ridge Rd Stamford CT 06905-3013
Phone: (203) 359-2042
Fax: (203) 359-2082
Website:
Map and Directions
Authorized official contact:
Name: Bertacchi, Peter La Roy Doctor of Medicine (MD)
Phone: (203) 359-2042

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 034033 Connecticut

Profile Details

NPI number 1427125558
LBN Legal business name Bertacchi & Associates, Pc
DBA Doing business as Sportmed
Authorized official Bertacchi, Peter La Roy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2006
Last updated Jan 23rd, 2008 - about 17 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 1427125558 NPPES
Connecticut Other C03151 MEDICARE GROUP NUMBER

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