COASTAL DIGESTIVE DISEASES PC – NPI #1053441147
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

COASTAL DIGESTIVE DISEASES PC is a provider located in NEW LONDON, CT. NPPES has assigned the NPI number 1053441147 to COASTAL DIGESTIVE DISEASES PC on March 07, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was previously updated about 15 years ago on Dec 07, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COASTAL DIGESTIVE DISEASES PC below.

NPI Profile for
COASTAL DIGESTIVE DISEASES PC

NPI Number
1053441147
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COASTAL DIGESTIVE DISEASES PC
Primary location
234 BANK ST
4TH FLOOR
NEW LONDON, CT 06320-6070
Phone: (860) 442-0290 Fax: (860) 442-2136
Mailing address
234A BANK ST
4TH FLOOR
NEW LONDON, CT 06320-6054
Phone: (860) 442-0290 Fax: (860) 442-2136
Organization Subpart
No
Authorized Official
GEORGE OUELLETTE
PRESIDENT
Phone: (860) 442-0290
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)
CT 3032224000
207RG0100X
- Internal Medicine / Gastroenterology
CT 3032224000

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.