Organization
ALLIANCE MEDICAL GROUP OF GREATER WATERBURY PC
Active
Organization
ALLIANCE MEDICAL GROUP OF GREATER WATERBURY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ARESCO (PRESIDENT)
(203) 573-9512
Entity
Organization
Contact information
Practice address
1625 STRAITS TPKE, MIDDLEBURY, CT 06762-1836
(203) 573-9512
(203) 568-2904
Mailing address
1625 STRAITS TPKE, SUITE #301, MIDDLEBURY, CT 06762-1836
(203) 573-9512
(203) 568-2904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004167872
—
CT
05
—
004203056
—
CT
05
—
004213005
—
CT
05
—
004213013
—
CT
05
—
004263977
—
CT
Enumeration date
07/13/2006
Last updated
09/03/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up