Middlesex Hospital Dba Family Practice Group Portland is a primary clinic (Physician Assistant - Medical) in Portland, Connecticut. The current practice location for Middlesex Hospital Dba Family Practice Group Portland is 595 Main St, Portland, Connecticut. For appointments, you can reach them via phone at
(860) 344-6394. The mailing address for Middlesex Hospital Dba Family Practice Group Portland is 90 S Main St, Middletown, Connecticut and phone number is (860) 344-6394.
Middlesex Hospital Dba Family Practice Group Portland is licensed to practice in Connecticut (license number ) and its
NPI number is 1568597128. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(860) 344-6394.
Primary Care Clinic Profile
| Full Name | Middlesex Hospital Dba Family Practice Group Portland |
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| Speciality | Physician Assistant - Medical |
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| Location | 595 Main St, Portland, Connecticut |
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| Authorized Official Name and Position | Vincent G Capece (SR VP FINANCR & OPERATIONS) |
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| Authorized Official Contact | 8603446394 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Middlesex Hospital Dba Family Practice Group Portland
90 S Main St
Middletown
CT 06457-3649
Ph: (860) 344-6394 | Middlesex Hospital Dba Family Practice Group Portland
595 Main St
Portland
CT 06480-1156
Ph: (860) 344-6394 |
NPI Details:
| NPI Number | 1568597128 |
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| Provider Enumeration Date | 02/23/2007 |
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| Last Update Date | 08/22/2020 |
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Medical Identifiers
Medical identifiers for Middlesex Hospital Dba Family Practice Group Portland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568597128 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | (Connecticut) | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (Connecticut) | Primary |
| 207V00000X | Obstetrics & Gynecology | (Connecticut) | Primary |
| 208000000X | Pediatrics | (Connecticut) | Primary |
| 363AM0700X | Physician Assistant - Medical | (Connecticut) | Primary |
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