Connecticut Gastroenterology Consultants, P.C.

LBN: Connecticut Gastroenterology Consultants, P.C.
Connecticut Gastroenterology Consultants, P.C. is an health care organization with primary practice located at 40 Temple St Suite 4A, New Haven CT 06510-2715. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Connecticut Gastroenterology Consultants, P.C. can be contacted via phone (203) 777-0304, or through Bennick, Michael C via phone (203) 777-0304.

Contact Information

Primary practice address
40 Temple St Suite 4A New Haven CT 06510-2715
Fax: (203) 401-4687
Website:
Authorized official contact:
Name: Bennick, Michael C Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1669674743
LBN Legal business name Connecticut Gastroenterology Consultants, P.C.
DBA Doing business as
Authorized official Bennick, Michael C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2007
Last updated Feb 13th, 2012 - about 12 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 1669674743 NPPES
Connecticut MEDICAID 004001541

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