Gottfried Takiff Md

LBN: Northwest Connecticut Physicians Llc
Gottfried Takiff Md is an health care organization with primary practice located at 895 East Main St , Torrington CT 06790-3918. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Northwest Connecticut Physicians Llc can be contacted via phone (860) 489-1291, or through Gottfried, Dennis Jay via phone (860) 489-1291.

Contact Information

Primary practice address
895 East Main St Torrington CT 06790-3918
Fax: (860) 489-1804
Website:
Authorized official contact:
Name: Gottfried, Dennis Jay Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 021448 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 004854 Connecticut

Profile Details

NPI number 1396935615
LBN Legal business name Northwest Connecticut Physicians Llc
DBA Doing business as Gottfried Takiff Md
Authorized official Gottfried, Dennis Jay Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2007
Last updated Jun 5th, 2014 - about 10 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 1396935615 NPPES
Connecticut MEDICAID 004394904

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