Organization · Type 2 NPI

Prospect CT Medical Foundation, Inc.

Family Medicine Physician · Manchester, CT

NPI number 1144677568 Active

Practice location

71 Haynes St, Miller Bldg., Floor G
Manchester, CT 06040-4131

Call (860) 533-2981 Map

Fax (860) 533-2975

Other practice locations

  • 777 Echo Lake Rd Unit A, Watertown, CT 06795-6618 · (860) 274-5497

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed
Registered Nurse 163W00000XNone listed
Family Medicine Physician Primary 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Endocrinology, Diabetes & Metabolism Physician 207RE0101XNone listed
Gastroenterology Physician 207RG0100XNone listed
Gynecologic Oncology Physician 207VX0201XNone listed
Orthopaedic Surgery Physician 207X00000XNone listed
Surgery Physician 208600000XNone listed
Vascular Surgery Physician 2086S0129XNone listed
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000XNone listed
Hospitalist Physician 208M00000XNone listed
Medical Physician Assistant 363AM0700XNone listed
Nurse Practitioner 363L00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1144677568

Prospect CT Medical Foundation, Inc.'s National Provider Identifier is 1144677568, issued on May 16, 2016. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Manchester, CT. The record was last updated on Mar 15, 2021.