Ledge Light Medical Assocates, Llc

LBN: Ledge Light Medical Assocates, Llc
Ledge Light Medical Assocates, Llc is an health care organization with primary practice located at 419 Montauk Ave , New London CT 06320-4621. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Ledge Light Medical Assocates, Llc can be contacted via phone (860) 442-4442, or through Buggeln, Craig R. via phone (860) 442-4442.

Contact Information

Primary practice address
419 Montauk Ave New London CT 06320-4621
Phone: (860) 442-4442
Fax: (860) 442-4446
Website:
Map and Directions
Authorized official contact:
Name: Buggeln, Craig R. Doctor of Medicine (MD)
Phone: (860) 442-4442

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 035420 Connecticut

Profile Details

NPI number 1376580258
LBN Legal business name Ledge Light Medical Assocates, Llc
DBA Doing business as
Authorized official Buggeln, Craig R. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2006
Last updated Sep 4th, 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 1376580258 NPPES
Connecticut MEDICAID 001354208

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