Organization
MIDDLESEX HOSPITAL DBA MIDDLESEX HOSPITAL PHYSICIAN SERVICES
Active
Parent organization
MIDDLESEX HOSPITAL DBA MIDDLESEX HOSPITAL PHYSICIAN SERVICES -PMA
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDDLESEX HOSPITAL DBA MIDDLESEX HOSPITAL PHYSICIAN SERVICES -PMA
Authorized official
MARISA PELLERIN (ENROLLMENT SPECIALIST)
(860) 358-4821
Entity
Organization
Contact information
Practice address
540 SAYBROOK RD STE 210, MIDDLETOWN, CT 06457-4759
(860) 358-6875
(860) 358-8693
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us