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Contact Information

ALLIANCE MEDICAL GROUP, INC
1625 STRAITS TURNPIKE
SUITE 110
MIDDLEBURY, CT06762-2613
 Phone: 203-758-8107
 Fax: 203-575-5226
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Family

363LF0000X 50 Nurse Practitioner
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Hospitalist

208M00000X
 

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Rheumatology

207RR0500X 11 Physician/Internal Medicine
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ALLIANCE MEDICAL GROUP INC · (Female)

NPI Number 1316273071
Status Active
Credentials
Entity Individual
Enumeration date 10/30/2009
Last updated 03/31/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 53369
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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