NPI 1750306015 · live from the CMS NPI Registry
Alliance Medical Group Of Greater Waterbury PC
Internal Medicine in Middlebury, CT. National Provider Identifier 1750306015, active.
NPI record
| NPI | 1750306015 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 1625 Straits Tpke, Middlebury, CT 06762 |
| Practice phone | 203-573-9512 |
| Mailing address | 1625 Straits Tpke, Suite #301, Middlebury, CT 06762 |
| Enumerated | July 13, 2006 |
| Last updated | September 3, 2009 |
| Authorized official | Mark Aresco, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Endocrinology, Diabetes & Metabolism | 207RE0101X | — |
| Internal Medicine, Infectious Disease | 207RI0200X | — |
| Internal Medicine, Pulmonary Disease | 207RP1001X | — |
| Internal Medicine, Rheumatology | 207RR0500X | — |
| Pediatrics | 208000000X | — |
| Surgery | 208600000X | — |
| Hospitalist | 208M00000X | — |
| Physician Assistant, Medical | 363AM0700X | — |
| Nurse Practitioner, Adult Health | 363LA2200X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
| Nurse Practitioner, Gerontology | 363LG0600X | — |
| Nurse Practitioner, Pediatrics | 363LP0200X | — |
| 2086S0129X | — | |
| Family Medicine | 207Q00000X | — |
| Internal Medicine primary | 207R00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.