Trumbull Medical Practice

LBN: Trumbull Medical Practice
Trumbull Medical Practice is an health care organization with primary practice located at 115 Technology Dr A303, Trumbull CT 06611-6337. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Trumbull Medical Practice can be contacted via phone (203) 268-4884, or through Flores, John A via phone (203) 268-4884.

Contact Information

Primary practice address
115 Technology Dr A303 Trumbull CT 06611-6337
Fax: (203) 268-9371
Website:
Authorized official contact:
Name: Flores, John A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 038698 Connecticut

Profile Details

NPI number 1568594554
LBN Legal business name Trumbull Medical Practice
DBA Doing business as
Authorized official Flores, John A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2007
Last updated Mar 4th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568594554 NPPES
Connecticut Other 010038698CT01 BCBS
Connecticut Other OV7401 BCBS
Connecticut Other 1541597 BCBS
Connecticut Other 2338437 BCBS
Connecticut MEDICAID 00138698111 BCBS
Connecticut Other 745874 BCBS

Popular Providers