Organization · Type 2 NPI

Confermed PC

Internal Medicine Physician · Middletown, CT

NPI number 1376190850 Active

Practice location

19 Grand St
Middletown, CT 06457-2705

Other practice locations

  • 1400 112th Ave SE Ste 100, Bellevue, WA 98004-6901 · (860) 323-0172
  • 1525 Raleigh St Ste 260, Denver, CO 80204-1597 · (860) 323-0172

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000XNone listed
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician Primary 207R00000XNone listed
Clinical Genetics (M.D.) Physician 207SG0201XNone listed
Ophthalmology Physician 207W00000XNone listed
Orthopaedic Surgery Physician 207X00000XNone listed
Otolaryngology Physician 207Y00000XNone listed
Pediatrics Physician 208000000XNone listed
Psychiatry Physician 2084P0800XNone listed
Urology Physician 208800000XNone listed
Pain Medicine Physician 208VP0000XNone listed
Multi-Specialty Clinic/Center 261QM1300XNone listed

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

2 other providers at this address

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About NPI 1376190850

Confermed PC's National Provider Identifier is 1376190850, issued on Aug 20, 2019. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Middletown, CT. The record was last updated on Mar 6, 2026.