Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLEANSLATE MEDICAL GROUP OF CONNECTICUT LLC
Active OrganizationCLEANSLATE MEDICAL GROUP OF CONNECTICUT LLC is a Addiction Medicine (Internal Medicine) organization located in HARTFORD, Connecticut. NPI 1073057071 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Internal Medicine) · HARTFORD, CT
Registration Details
- NPI Number
- 1073057071
- Provider Type
- Organization
- NPI Issued
- Dec 9, 2016 (9.7159371096434 yrs)
- Last Updated
- Mar 23, 2023
Practice Information
- Address
-
85 GILLETT STHARTFORD, CT, 061052630Browse CT providers · Browse ZIP 06105
- Phone
- 6154250220
- Fax
- 4137273619
- Primary Specialty
-
Addiction Medicine (Internal Medicine)
207RA0401X
- Additional Specialty
- Addiction Medicine (Internal 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.