Organization
MIDDLESEX HOSPITAL
Active
Parent organization
MIDDLESEX HOSPITAL
Other names
Middlesex Hospital dba Middlesex Hospital Physician Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDDLESEX HOSPITAL
Authorized official
VINCENT G. CAPECE (CEO)
(860) 358-6150
Entity
Organization
Contact information
Practice address
154 MAIN ST, OLD SAYBROOK, CT 06475-2373
(860) 358-6394
(860) 358-6094
Mailing address
154 MAIN ST, OLD SAYBROOK, CT 06475-2373
(860) 358-6394
(860) 358-6094
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
2084N0400X
Neurology Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0069
FACILITY ST LICENSE #
CT
Enumeration date
08/31/2017
Last updated
07/21/2022
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