Organization · Type 2 NPI
Connecticut Medical Group, LLC
Primary Care Nurse Practitioner · Hamden, CT
NPI number
1366504227
Active
Practice location
2989 Dixwell Ave
Hamden, CT 06518-3501
Fax (203) 248-2878
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy Physician | 207KA0200X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | None listed |
| Cardiovascular Disease Physician | 207RC0000X | None listed |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | None listed |
| Gastroenterology Physician | 207RG0100X | None listed |
| Pulmonary Disease Physician | 207RP1001X | None listed |
| Rheumatology Physician | 207RR0500X | None listed |
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1366504227
Connecticut Medical Group, LLC's National Provider Identifier is 1366504227, issued on Dec 15, 2006. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Hamden, CT. The record was last updated on Sep 11, 2025.