Stony Creek Medical Group, LLC
Stony Creek Medical Group, LLC is an Emergency Medicine Physician in Orange, Connecticut. Licensed in Connecticut. Registered with an NPI since 2013.
- Licensed in
- CT
- In the registry since
- 2013
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
236 Boston Post RdOrange, CT 06477-3236
Phone: (203) 815-1054
Fax: (203) 298-9874
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 041818 (CT) |
|---|---|
| Emergency Medicine Physician | Taxonomy 207P00000X · Licence 042996 (CT) |
| Pediatrics Physician | Taxonomy 208000000X · Licence 041818 (CT) |
Record details
| NPI number | 1609204122 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mayumi Deanna Young — Executive Director · (203) 483-4580 |
| NPI enumerated | October 18, 2013 |
| Last updated in NPPES | October 22, 2013 |
| Mailing address | 6 Business Park Dr, Suite 302, Branford, CT 06405-2988 |
Other providers in Orange
-
Dr. Richard Anthony Lavely, MD
695 Orange Center Rd, Orange, CT 06477-1830 · (203) 795-4117