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:
Authorized official contact:
Name: Petruzziello, Fausto Doctor of Medicine (MD)
Phone: (203) 672-2800
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902095003 | NPPES |
| Connecticut | MEDICAID | 500000049 | |
| Connecticut | Other | DG5581 |
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