Gastroenterology Specialty Group, Llc

LBN: Gastroenterology Specialty Group, Llc
Gastroenterology Specialty Group, Llc is an health care organization with primary practice located at 115 Technology Dr Ste B-106, Trumbull CT 06611-1395. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Gastroenterology Specialty Group, Llc can be contacted via phone (203) 452-1411, or through Gupta, Tarun K via phone (203) 452-1411.

Contact Information

Primary practice address
115 Technology Dr Ste B-106 Trumbull CT 06611-1395
Phone: (203) 452-1411
Fax: (203) 452-1412
Website:
Map and Directions
Authorized official contact:
Name: Gupta, Tarun K Doctor of Medicine (MD)
Phone: (203) 452-1411

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 032684 Connecticut

Profile Details

NPI number 1548207970
LBN Legal business name Gastroenterology Specialty Group, Llc
DBA Doing business as
Authorized official Gupta, Tarun K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2006
Last updated Apr 7th, 2015 - about 9 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 1548207970 NPPES
Connecticut Other 032684 CONNECTICARE PROVIDER NUM
Connecticut Other OV6284 CONNECTICARE PROVIDER NUM
Connecticut MEDICAID 001326843 CONNECTICARE PROVIDER NUM
Connecticut Other 010032684CT05 CONNECTICARE PROVIDER NUM
Connecticut Other 110239944 CONNECTICARE PROVIDER NUM
Connecticut Other 5373649 CONNECTICARE PROVIDER NUM
Connecticut Other P653628 CONNECTICARE PROVIDER NUM
Connecticut Other 2185309009 CONNECTICARE PROVIDER NUM
Connecticut Other 88411 CONNECTICARE PROVIDER NUM

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