NPI 1942400049 · live from the CMS NPI Registry
Bethel Medical Group, P. C.
Family Medicine, Adult Medicine in Bethel, CT. National Provider Identifier 1942400049, active.
NPI record
| NPI | 1942400049 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Adult Medicine 207QA0505X |
| Practice location | 155 Greenwood Ave, Bethel, CT 06801 |
| Practice phone | 203-744-1639 |
| Enumerated | July 18, 2007 |
| Last updated | July 18, 2007 |
| Authorized official | David Shapiro, Vice-President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Adult Medicine primary | 207QA0505X | 016412 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.