NPI 1164626974 · live from the CMS NPI Registry
Advancedcare Associates
Family Medicine in Old Saybrook, CT. National Provider Identifier 1164626974, active.
NPI record
| NPI | 1164626974 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 20 Research Pkwy, Old Saybrook, CT 06475 |
| Practice phone | 860-510-0888 |
| Enumerated | June 14, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Kelly Johnson, Credentialing Coordinator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.