National Provider Identifier Database

CITYBLOCK MEDICAL PRACTICE CT PC
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.


Contact Information

CITYBLOCK MEDICAL PRACTICE CT, P.C.
76 CENTER ST FL 3
WATERBURY, CT06702-2129
Phone: 203-518-4566
Fax:
Website:
Specialty Taxonomy Code
* Internal Medicine 207R00000X
Family Medicine 207Q00000X
Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for CITYBLOCK MEDICAL PRACTICE CT, P.C.

NPI Number 1396218293
Legal business name
LBN
CITYBLOCK MEDICAL PRACTICE CT, P.C.
Authorized official JONATHAN ITSKOV - (CREDENTIALING)
Entity Organization
Organization subpart No
Enumeration date 01/03/2019
Last updated 02/06/2019 - About 7 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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