Coastal Digestive Diseases PC
Coastal Digestive Diseases PC is an Adult Medicine Physician in New London, Connecticut. Licensed in Connecticut. Registered with an NPI since 2007.
- Licensed in
- CT
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
234 Bank St 4th FlNew London, CT 06320-6070
Phone: (860) 442-0290
Fax: (860) 442-2136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Medicine Physician (primary) | Taxonomy 207QA0505X · Licence 3032224000 (CT) |
|---|---|
| Gastroenterology Physician | Taxonomy 207RG0100X · Licence 3032224000 (CT) |
Record details
| NPI number | 1053441147 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | George Ouellette — President · (860) 442-0290 |
| NPI enumerated | March 7, 2007 |
| Last updated in NPPES | December 7, 2011 |
| Mailing address | 234a Bank St, 4th Floor, New London, CT 06320-6054 |