Organization
NEW MILFORD MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA MARTINEZ CPC, CPCS (CREDENTIALING COORDINATOR)
(860) 350-7685
Entity
Organization
Contact information
Practice address
11 OLD PARK LANE RD, NEW MILFORD, CT 06776-2507
(860) 355-1149
(860) 355-5957
Mailing address
11 OLD PARK LANE RD, NEW MILFORD, CT 06776-2507
(860) 355-1149
(860) 355-5957
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
208000000X
Pediatrics Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4184686
—
CT
Enumeration date
12/15/2006
Last updated
09/15/2025
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