Internal Medicine Of East Haven Pc
LBN: Internal Medicine Of East Haven Pc
Internal Medicine Of East Haven Pc is an health care organization with primary practice located at 339 Hemingway Ave , East Haven CT 06512-2318. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Internal Medicine Of East Haven Pc can be contacted via phone (203) 468-9775, or through Kasper, Mark Sherard via phone (203) 468-9775.
Contact Information
Primary practice address
339 Hemingway Ave
East Haven CT 06512-2318
Phone: (203) 468-9775
Fax:
Website:
Authorized official contact:
Name: Kasper, Mark Sherard Doctor of Medicine (MD)
Phone: (203) 468-9775
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 024717 | Connecticut |
| Other Service Providers / Specialist | 174400000X | 024588 | Connecticut |
| Other Service Providers / Specialist | 174400000X | 030998 | Connecticut |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1790746337 |
|---|---|
| LBN Legal business name | Internal Medicine Of East Haven Pc |
| DBA Doing business as | |
| Authorized official | Kasper, Mark Sherard Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Jun 5th, 2019 - about 5 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 | 1790746337 | NPPES |
| Connecticut | MEDICAID | 001309980 |
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