Organization
NORTHEAST MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATA BIALCZAK (MANAGER)
(203) 384-3975
Entity
Organization
Contact information
Practice address
226 MILL HILL AVENUE, 3RD FLR, BRIDGEPORT, CT 06610
(203) 384-3975
(203) 384-3829
Mailing address
PO BOX 415126, BOSTON, MA 02241-0001
(203) 384-3975
(203) 384-3829
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
133V00000X
Registered Dietitian
—
—
207P00000X
Emergency Medicine Physician
—
—
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004112257
—
CT
05
—
004118388
—
CT
05
—
004118396
—
CT
05
—
004212958
—
CT
05
—
004216984
—
CT
05
—
004223517
—
CT
05
—
004229317
—
CT
05
—
004269173
—
CT
05
—
004271631
—
CT
05
—
008001858
—
CT
05
—
008002043
—
CT
05
—
008008038
—
CT
Enumeration date
05/03/2006
Last updated
12/22/2021
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