Eastern Connecticut Medical Professionals Foundation Inc, NPI 1770557712
Family Medicine Physician in Manchester, CT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1770557712
NPI Entity Type Organization
Provider Name Eastern Connecticut Medical Professionals Foundation Inc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 71 Haynes St, Miller Bldg, Floor G, Manchester, CT, US
Provider Mailing Address 71 Haynes St, Miller Bldg, Floor G, Manchester, CT, US, 060404131
Is Sole Proprietor? No
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Organization Official

Official Name Peter J Karl
Official Position PRESIDENT & CEO
Phone 860-646-1222

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

207Q00000X

Taxonomy Name Family Medicine Physician
Classification

Family Medicine

Group

Allopathic & Osteopathic Physicians

Description Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Other Organization Name

Eastern CT Medical Professionals
Doing Business As

Business Address

Eastern Connecticut Medical Professionals Foundation Inc
71 Haynes St
Miller Bldg, Floor G

Manchester, CT, US

Phone: 860-533-2981
Fax: 860-533-2975

Mailing Address

Eastern Connecticut Medical Professionals Foundation Inc
71 Haynes St
Miller Bldg, Floor G
Manchester, CT, US
ZIP 060404131
Phone: 860-533-2981
Fax: 860-533-2975

Secondary Taxonomies

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
004212750 CT MEDICAID 05
004271285 CT MEDICAID 05
004268571 CT MEDICAID 05
004271300 CT MEDICAID 05
01003917CT05 CT ANTHEM ID - ALI HEMACHA, MD 01
004268620 CT MEDICAID 05
004181351 CT MEDICAID 05

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DR. Drew Cornwell

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