LANDMARK MEDICAL OF CONNECTICUT PC – NPI #1245813419
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

LANDMARK MEDICAL OF CONNECTICUT PC is a provider located in WESTBOROUGH, MA. NPPES has assigned the NPI number 1245813419 to LANDMARK MEDICAL OF CONNECTICUT PC on May 04, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 2 years ago on Jan 30, 2024. 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 LANDMARK MEDICAL OF CONNECTICUT PC below.

NPI Profile for
LANDMARK MEDICAL OF CONNECTICUT PC

NPI Number
1245813419
Enumeration Date

(more than 5 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
LANDMARK MEDICAL OF CONNECTICUT PC
Primary location
1400 COMPUTER DR STE 301
WESTBOROUGH, MA 01581-1790
Phone: (657) 400-5180 Fax:
Mailing address
7755 CENTER AVE STE 630
HUNTINGTON BEACH, CA 92647-9152
Phone: Fax:
Organization Subpart
No
Authorized Official
CHRISTOPHER DENNIS
CHIEF BH OFFICER
Phone: (657) 400-5180
Updated
Certification Date
Jan 30, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
208D00000X
- General Practice (Primary)

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.