Organization
MIDDLESEX HOSPITAL DBA FAMILY PRACTICE GROUP PORTLAND
Active
Organization
MIDDLESEX HOSPITAL DBA FAMILY PRACTICE GROUP PORTLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT G CAPECE JR. (SR VP FINANCR & OPERATIONS)
(860) 344-6394
Entity
Organization
Contact information
Practice address
595 MAIN ST, PORTLAND, CT 06480-1156
(860) 344-6394
(860) 344-6748
Mailing address
90 S MAIN ST, MIDDLETOWN, CT 06457-3649
(860) 344-6394
(860) 344-6748
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
CT
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
CT
207V00000X
Obstetrics & Gynecology Physician
—
CT
208000000X
Pediatrics Physician
—
CT
363AM0700X
Medical Physician Assistant
Primary
—
CT
Other
Enumeration date
02/23/2007
Last updated
09/11/2025
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