Organization
HAMDEN MEDICAL GROUP, LLC
Active
Other names
Hamden Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARTH OLIVER M.D. (PRESIDENT/OWNER)
(203) 248-8142
Entity
Organization
Contact information
Practice address
2340 WHITNEY AVE, HAMDEN, CT 06518-3511
(203) 248-8142
(203) 248-7764
Mailing address
2340 WHITNEY AVE, HAMDEN, CT 06518-3511
(203) 248-8142
(203) 248-7764
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003949400
CT TAX ID
CT
05
—
004215605
—
CT
Enumeration date
07/17/2009
Last updated
07/17/2009
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