National Provider Identifier Database

CONNECTICUT GERIATRIC SPECIALTY GROUP PC
Geriatric Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.


Contact Information

CONNECTICUT GERIATRIC SPECIALTY GROUP, PC
1 ABRAHMS BOULEVARD
WEST HARTFORD, CT06117
Phone: 860-523-3854
Fax: 860-523-3828
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207QG0300X
Adult Health 363LA2200X
Geriatric Medicine 207RG0300X
Gerontology 363LG0600X
Internal Medicine 207R00000X
Nurse Practitioner 363L00000X

* Indicates primary specialty

NPI Profile & details for CONNECTICUT GERIATRIC SPECIALTY GROUP, PC

NPI Number 1457573933
Legal business name
LBN
CONNECTICUT GERIATRIC SPECIALTY GROUP, PC
Authorized official DAVID HOULE - (VICE PRESIDENT/CFO)
Entity Organization
Organization subpart Yes
Enumeration date 05/03/2007
Last updated 09/04/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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