Organization
ALLIANCE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PIZZUTO MD (VICE PRESIDENT OF MEDICAL SERVICES)
(203) 573-9512
Entity
Organization
Contact information
Practice address
1625 STRAITS TURNPIKE, SUITE 110, MIDDLEBURY, CT 06762-2613
(203) 758-8107
(203) 575-5226
Mailing address
1625 STRAITS TURNPIKE, SUITE 201, MIDDLEBURY, CT 06762-2613
(203) 573-9512
(203) 575-5204
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
53369
CT
207R00000X
Internal Medicine Physician
—
CT
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/30/2009
Last updated
03/31/2016
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