Organization
CONFERMED PC
Active
Organization
CONFERMED PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MORDKIN (PRESIDENT)
(703) 258-2838
Entity
Organization
Contact information
Practice address
19 GRAND ST, MIDDLETOWN, CT 06457-2705
(860) 323-0172
Mailing address
19 GRAND ST, MIDDLETOWN, CT 06457-2705
(860) 323-0172
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207SG0201X
Clinical Genetics (M.D.) Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208800000X
Urology Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
08/20/2019
Last updated
03/06/2026
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