Westside Medical Group

LBN: Westside Medical Group
Westside Medical Group is an health care organization with primary practice located at 714 Chase Parkway Suite 6, Waterbury CT 06708-3939. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Westside Medical Group can be contacted via phone (203) 755-4577, or through Kraus, Mark Lawrence via phone (203) 755-4577.

Contact Information

Primary practice address
714 Chase Parkway Suite 6 Waterbury CT 06708-3939
Phone: (203) 755-4577
Fax: (203) 756-3628
Website:
Map and Directions
Authorized official contact:
Name: Kraus, Mark Lawrence Doctor of Medicine (MD)
Phone: (203) 755-4577

Health care specialties

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

Profile Details

NPI number 1083724967
LBN Legal business name Westside Medical Group
DBA Doing business as
Authorized official Kraus, Mark Lawrence Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 23rd, 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 1083724967 NPPES
Connecticut MEDICAID 004085800
Connecticut Other 50WESTSIDECT01

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