Pitegoff, John Gerald
Pitegoff, John Gerald is an individual health care provider with primary practice located at 1225 Silver St , Middletown CT 06457-3920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Pitegoff, John Gerald can be contacted via phone (860) 638-2620.Contact Information
Primary practice address
1225 Silver St
Middletown CT 06457-3920
Phone: (860) 638-2620
Fax: (860) 638-2630
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 026828 | Connecticut |
Profile Details
| NPI number | 1982706032 |
|---|---|
| LBN Legal business name | Pitegoff, John Gerald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Sep 15th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982706032 | NPPES |
| Connecticut | MEDICAID | 001268285 | |
| Connecticut | Other | 010026828CT |
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