NPI 1588844591 · live from the CMS NPI Registry
Associated Specialists Of Southeastern Connecticut, INC.
Internal Medicine in New London, CT. National Provider Identifier 1588844591, active.
NPI record
| NPI | 1588844591 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 365 Montauk Ave, New London, CT 06320 |
| Practice phone | 860-442-0711 |
| Mailing address | 2 Lorenz Industrial Parkway, Ledyard, CT 06339 |
| Enumerated | November 7, 2007 |
| Last updated | May 8, 2013 |
| Authorized official | Pamela Kane, Vice President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Neonatal-Perinatal Medicine | 2080N0001X | — |
| Internal Medicine, Endocrinology, Diabetes & Metabolism | 207RE0101X | — |
| Internal Medicine, Infectious Disease | 207RI0200X | — |
| Nurse Practitioner, Neonatal | 363LN0000X | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — |
| Family Medicine, Sleep Medicine | 207QS1201X | — |
| Nurse Practitioner, Adult Health | 363LA2200X | — |
| Psychiatry & Neurology, Neurology | 2084N0400X | — |
| Nurse Practitioner, Acute Care | 363LA2100X | — |
| Clinical Neuropsychologist | 103G00000X | — (CT) |
| Physical Medicine & Rehabilitation | 208100000X | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Family Medicine | 207Q00000X | — |
| Social Worker, Clinical | 1041C0700X | — (CT) |
| Internal Medicine primary | 207R00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.