| New Canaan Medical Group Pc | |
|
173 East Avenue New Canaan CT 06840 | |
| (203) 966-7030 | |
| (203) 966-7030 |
| Full Name | New Canaan Medical Group Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 173 East Avenue, New Canaan, Connecticut |
| Authorized Official Name and Position | James A Slater (PRESIDENT) |
| Authorized Official Contact | 2039667030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Canaan Medical Group Pc 173 East Avenue New Canaan CT 06840 Ph: (203) 966-7030 | New Canaan Medical Group Pc 173 East Avenue New Canaan CT 06840 Ph: (203) 966-7030 |
| NPI Number | 1396805842 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396805842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 016709 (Connecticut) | Primary |
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