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

Mount Carmel Internal Medicine and Geriatrics LLC

Organization Internal Medicine Physician · NPI 1104824978

Mount Carmel Internal Medicine and Geriatrics LLC is an Internal Medicine Physician in Cheshire, Connecticut. Licensed in Connecticut. Registered with an NPI since 2005.

Licensed in
CT
In the registry since
2005
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

680 S Main St Ste 205
Cheshire, CT 06410-3181
Phone: (203) 699-9898
Fax: (203) 250-7878
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X (CT)

Record details

NPI number1104824978
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Stack — President · (203) 699-9898
NPI enumeratedJuly 14, 2005
Last updated in NPPESJuly 21, 2022
Certification dateMarch 20, 2020
Mailing address5000 Birch St, Newport Beach, CA 92660-2127

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