Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cleanslate Medical Group of Connecticut LLC

Organization Internal Medicine Physician · NPI 1073057071

Cleanslate Medical Group of Connecticut LLC is an Internal Medicine Physician in Hartford, Connecticut. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

85 Gillett St
Hartford, CT 06105-2630
Phone: (615) 425-0220
Fax: (413) 727-3619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1073057071
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Hutchison — Cfo · (615) 425-0220
NPI enumeratedDecember 9, 2016
Last updated in NPPESMarch 23, 2023
Certification dateMarch 23, 2023
Mailing address8 Cadillac Dr Ste 180, Brentwood, TN 37027-5393

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