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GRIFFIN FACULTY PHYSICIANS, INC.

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Adult Health

Provider NPI: 1598755605

Organization Information:
Organization Name:  GRIFFIN FACULTY PHYSICIANS, INC.
Organization is not Subpart
Authorized Official:  ADAM  DWORKIN  EXECUTIVE DIRECTOR  203-732-1508

Practice Location:
67 MAPLE AVE 2ND FLOOR DERBY, CT 06418-1328 US
Tel: 203-732-1330  Fax: 203-732-1332

Business Mailing Address:
67 MAPLE AVE 2ND FLOOR DERBY, CT 06418-1328 US
Tel: 203-732-1330  Fax: 203-732-1332

NPI Information:
NPI: 1598755605
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Adult Health
CT003450
N363AS0400XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
N363LP0200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
N208M00000XPhysicians
Hospitalist
N282N00000XHospitals
General Acute Care Hospital
N363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
N207RB0002XPhysicians
Internal Medicine
N208600000XPhysicians
Surgery
CT049045
N208800000XPhysicians
Urology
N207R00000XPhysicians
Internal Medicine
N207RC0000XPhysicians
Internal Medicine
N207RG0300XPhysicians
Internal Medicine
N207VX0000XPhysicians
Obstetrics & Gynecology
N208000000XPhysicians
Pediatrics
Y208G00000XPhysicians
Thoracic Surgery (Cardiothoracic Vascular Surgery)
CT034350

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 208G00000X

Type:

Classification:



Definition:



MEDICAL JOBS CT - Page 1

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