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

SOUTHERN CONNECTICUT GERIATRIC & PREVENTIVE MEDICINE LLC

Active Organization

Gastroenterology · NEW HAVEN, CT

Registration Details

NPI Number
1679701882
Provider Type
Organization
NPI Issued
Jun 25, 2009 (16.821607855997 yrs)
Last Updated
Oct 4, 2021
Licenses
041288 (CT)
041288 (CT)

Practice Information

Address
390 LIVINGSTON ST
NEW HAVEN, CT, 065111336
Browse CT providers · Browse ZIP 06511
Phone
2038719224
Primary Specialty
Gastroenterology
207RG0300X
Additional Specialty
Gastroenterology
Additional Specialty
Gastroenterology

Other Gastroenterology Organizations in NEW HAVEN, CT

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.