Coastal Digestive Diseases Pc

NPI 1053441147 - Internal Medicine - 207RG0100X

NPI Details
NPI 1053441147
Enumeration Date 03/07/2007
Last Updated 12/07/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GEORGE S GEORGE
Position PRESIDENT
Phone (860) 442-0290
Fax (860) 442-2136
Practice Location
234 BANK ST
4TH FLOOR
NEW LONDON CT, 06320-6070, US
Phone (860) 442-0290
Fax (860) 442-2136
Business Location
234A BANK ST
4TH FLOOR
NEW LONDON CT, 06320-6054, US
Phone (860) 442-0290
Fax (860) 442-2136
Toxanomy
Taxonomy Code 207RG0100X
License State Connecticut
License Number 3032224000
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According to our database, Coastal Digestive Diseases Pc NPI is 1053441147, taxonomy code is 207RG0100X and license number is 3032224000, license state is located at Connecticut. Coastal Digestive Diseases Pc physically located at 234 Bank St, New London CT, 06320-6070. NPI Number 1033115704 has the healthcare provider type.

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1053441147 NPI number is provided on an as is basis without warranty of any kind. 1053441147 is maintained by the National Plan & Provider Enumeration System. The contents of Coastal Digestive Diseases Pc are for informational purposes only.