Middlesex Hospital Dba Family Practice Group East Hampton
Middlesex Hospital Dba Family Practice Group East Hampton is a Family Medicine Physician in East Hampton, Connecticut. Licensed in Connecticut. Registered with an NPI since 2007.
- Licensed in
- CT
- In the registry since
- 2007
- Specialties on file
- 5
Practice location Address checks out
42 E High StEast Hampton, CT 06424-1099
Phone: (860) 344-6394
Fax: (860) 344-6748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X (CT) |
|---|---|
| Geriatric Medicine (Family Medicine) Physician | Taxonomy 207QG0300X (CT) |
| Obstetrics & Gynecology Physician | Taxonomy 207V00000X (CT) |
| Pediatrics Physician | Taxonomy 208000000X (CT) |
| Medical Physician Assistant | Taxonomy 363AM0700X (CT) |
Record details
| NPI number | 1114062114 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Middlesex Hospital |
| Authorized official | Marisa Pellerin — Credentialing/Enrollment · (860) 358-4821 |
| Other names | Family Practice Group East Hampton; Family Practice Group East Hampton |
| NPI enumerated | February 20, 2007 |
| Last updated in NPPES | March 6, 2019 |
| Mailing address | 90 S Main St, Middletown, CT 06457-3649 |
Other providers in East Hampton
-
Karren Agyekum
54 E High St, East Hampton, CT 06424-1052 · (866) 389-2727
-
Domenic William Casablanca, MD
42 E High St Ste 205, East Hampton, CT 06424-1073 · (860) 358-3500
-
Ana Mariel Garcia, DO
42 E High St Ste 205, East Hampton, CT 06424-1056 · (860) 358-3500
-
Dr. Cathy J Zack, MD
120 Main St, East Hampton, CT 06424-1123 · (860) 267-2593