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NPI 1316273071 · live from the CMS NPI Registry

Alliance Medical Group, INC

Internal Medicine in Middlebury, CT. National Provider Identifier 1316273071, active.

NPI record

NPI1316273071 Type 2 · organization
StatusActive
Primary specialtyInternal Medicine 207R00000X
Practice location1625 Straits Turnpike, Suite 110, Middlebury, CT 06762
Practice phone203-758-8107
Mailing address1625 Straits Turnpike, Suite 201, Middlebury, CT 06762
EnumeratedOctober 30, 2009
Last updatedMarch 31, 2016
Authorized officialDavid Pizzuto, Vice President Of Medical Services

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered133V00000X—
Internal Medicine, Endocrinology, Diabetes & Metabolism207RE0101X—
Internal Medicine, Infectious Disease207RI0200X—
Internal Medicine, Pulmonary Disease207RP1001X—
Internal Medicine, Rheumatology207RR0500X—
Internal Medicine, Sleep Medicine207RS0012X—
Pediatrics208000000X—
Surgery208600000X—
Hospitalist208M00000X—
Physician Assistant363A00000X—
Nurse Practitioner, Adult Health363LA2200X—
Nurse Practitioner, Family363LF0000X—
Internal Medicine207R00000X— (CT)
Family Medicine, Geriatric Medicine207QG0300X53369 (CT)
Internal Medicine primary207R00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.