NPI 1376190850 · live from the CMS NPI Registry
Confermed PC
Internal Medicine in Middletown, CT. National Provider Identifier 1376190850, active.
NPI record
| NPI | 1376190850 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 19 Grand St, Middletown, CT 06457 |
| Practice phone | 860-323-0172 |
| Enumerated | August 20, 2019 |
| Last updated | March 6, 2026 |
| Authorized official | Robert Mordkin, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | — |
| Pediatrics | 208000000X | — |
| Ophthalmology | 207W00000X | — |
| Urology | 208800000X | — |
| Family Medicine | 207Q00000X | — |
| Clinic/Center, Multi-Specialty | 261QM1300X | — |
| 208VP0000X | — | |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Orthopaedic Surgery | 207X00000X | — |
| Otolaryngology | 207Y00000X | — |
| Medical Genetics, Clinical Genetics (M.D.) | 207SG0201X | — |
| Internal Medicine primary | 207R00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.