Organization · Type 2 NPI

Mgda

Preferred Provider Organization · Waterbury, CT

NPI number 1457793291 Active

Practice location

146 Highland Ave
Waterbury, CT 06708-2761

Fax (203) 755-7784

Specialties and licenses

TaxonomyCodeLicense
Preferred Provider Organization Primary 305R00000X007481 (CT)

Preferred Provider Organization: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

About NPI 1457793291

Mgda's National Provider Identifier is 1457793291, issued on Jul 22, 2013. The primary taxonomy on file is Preferred Provider Organization (305R00000X), and the practice location is in Waterbury, CT. The record was last updated on Jul 22, 2013.