Premier Medical Associates
LBN: Premier Medical Associates
Premier Medical Associates is an health care organization with primary practice located at 929 Boston Post Rd , Old Saybrook CT 06475-2143. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Dermatopathology is the primary health care specialty.
Premier Medical Associates can be contacted via phone (860) 388-1115, or through Gaudio, Steven Anthony via phone (860) 388-1115.
Contact Information
Primary practice address
929 Boston Post Rd
Old Saybrook CT 06475-2143
Phone: (860) 388-1115
Fax:
Website:
Authorized official contact:
Name: Gaudio, Steven Anthony Doctor of Medicine (MD)
Phone: (860) 388-1115
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 26345 | Connecticut |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 26345 | Connecticut |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 042317 | Connecticut |
Profile Details
| NPI number | 1710948443 |
|---|---|
| LBN Legal business name | Premier Medical Associates |
| DBA Doing business as | |
| Authorized official | Gaudio, Steven Anthony Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Aug 22nd, 2020 - 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 | 1710948443 | NPPES |
| Connecticut | Other | 50PREMIERCT01 | BLUE CROSS |
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