Family Practice & Internal Medicine, Llc

LBN: Family Practice & Internal Medicine, Llc
Family Practice & Internal Medicine, Llc is an health care organization with primary practice located at 52 Washington Ave Suite 4, North Haven CT 06473-1724. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Family Practice & Internal Medicine, Llc can be contacted via phone (203) 672-2800, or through Petruzziello, Fausto via phone (203) 672-2800.

Contact Information

Primary practice address
52 Washington Ave Suite 4 North Haven CT 06473-1724
Phone: (203) 672-2800
Fax: (203) 672-2801
Website:
Map and Directions
Authorized official contact:
Name: Petruzziello, Fausto Doctor of Medicine (MD)
Phone: (203) 672-2800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1902095003
LBN Legal business name Family Practice & Internal Medicine, Llc
DBA Doing business as
Authorized official Petruzziello, Fausto Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2007
Last updated May 31st, 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 1902095003 NPPES
Connecticut MEDICAID 500000049
Connecticut Other DG5581

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