Organization
MOUNT CARMEL INTERNAL MEDICINE AND GERIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA N.C. STACK M.D. (PRESIDENT)
(203) 699-9898
Entity
Organization
Contact information
Practice address
680 S MAIN ST, SUITE 205, CHESHIRE, CT 06410-3181
(203) 699-9898
(203) 250-7878
Mailing address
5000 BIRCH ST, NEWPORT BEACH, CA 92660-2127
(301) 990-3995
(702) 447-8174
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001285148
—
CT
Enumeration date
07/14/2005
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us