Southern Connecticut Internal Medicine

LBN: Southern Connecticut Internal Medicine
Southern Connecticut Internal Medicine is an health care organization with primary practice located at 150 Sargent Dr , New Haven CT 06511-6110. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Southern Connecticut Internal Medicine can be contacted via phone (203) 781-4444, or through Geller, Sam via phone (203) 781-4444.

Contact Information

Primary practice address
150 Sargent Dr New Haven CT 06511-6110
Phone: (203) 781-4444
Fax: (203) 789-8341
Website:
Map and Directions
Authorized official contact:
Name: Geller, Sam Doctor of Medicine (MD)
Phone: (203) 781-4444

Health care specialties

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

Profile Details

NPI number 1174513543
LBN Legal business name Southern Connecticut Internal Medicine
DBA Doing business as
Authorized official Geller, Sam Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2005
Last updated Sep 3rd, 2008 - about 18 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 1174513543 NPPES
Connecticut MEDICAID 004197986

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