Organization
TRINITY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD WABLE (CEO)
(203) 709-3368
Entity
Organization
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6000
(203) 709-8689
Mailing address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6000
(203) 709-8689
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
CT
363A00000X
Physician Assistant
—
CT
363L00000X
Nurse Practitioner
—
CT
367A00000X
Advanced Practice Midwife
—
CT
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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