Southeastern Pulmonary Assoc. Pc
LBN: Southeastern Pulmonary Assoc. Pc
Southeastern Pulmonary Assoc. Pc is an health care organization with primary practice located at 155 Montauk Avenue , New London CT 06320. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as the primary health care specialty.
Southeastern Pulmonary Assoc. Pc can be contacted via phone (860) 444-2223, or through Urbanetti, John S via phone (860) 444-2223.
Contact Information
Primary practice address
155 Montauk Avenue
New London CT 06320
Phone: (860) 444-2223
Fax: (860) 440-3153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 022011 | Connecticut |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 022057 | Connecticut |
Profile Details
| NPI number | 1295754273 |
|---|---|
| LBN Legal business name | Southeastern Pulmonary Assoc. Pc |
| DBA Doing business as | |
| Authorized official | Urbanetti, John S Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jan 20th, 2016 - about 9 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 | 1295754273 | NPPES |
| Connecticut | MEDICAID | 1220573 | |
| Connecticut | Other | 022057 | |
| Connecticut | MEDICAID | 1220110 |
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