Organization
NEW MILFORD MEDICAL GROUP, LLC
Active
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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