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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COASTAL DIGESTIVE DISEASES PC

Active Organization

COASTAL DIGESTIVE DISEASES PC is a Adolescent Medicine organization located in NEW LONDON, Connecticut. NPI 1053441147 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine · NEW LONDON, CT

Registration Details

NPI Number
1053441147
Provider Type
Organization
NPI Issued
Mar 7, 2007 (19.448579815908 yrs)
Last Updated
Dec 7, 2011
Licenses
3032224000 (CT)
3032224000 (CT)

Practice Information

Address
234 BANK ST
4TH FLOOR
NEW LONDON, CT, 063206070
Browse CT providers · Browse ZIP 06320
Phone
8604420290
Fax
8604422136
Primary Specialty
Adolescent Medicine
207QA0505X
Additional Specialty
Adolescent Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.