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Organization

NEMG NORTH LLC

Active
Parent organization
NORTHEAST MEDICAL GROUP INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTHEAST MEDICAL GROUP INC
Authorized official
BEATA BIALCZAK (SR MANAGER REVENUE CYCLE)
(203) 384-3975
Entity
Organization

Contact information

Practice address
789 HOWARD AVE, NEW HAVEN, CT 06519-1304
(203) 384-3975
Mailing address
PO BOX 415126, BOSTON, MA 02241-5126

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
133V00000X
Registered Dietitian
207P00000X
Emergency Medicine Physician
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
207R00000X
Internal Medicine Physician
Primary
207RC0000X
Cardiovascular Disease Physician
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207V00000X
Obstetrics & Gynecology Physician
208000000X
Pediatrics Physician
2084P0800X
Psychiatry Physician
208600000X
Surgery Physician
213ES0103X
Foot & Ankle Surgery Podiatrist
363L00000X
Nurse Practitioner
367500000X
Certified Registered Nurse Anesthetist

Other

Enumeration date
05/18/2023
Last updated
05/18/2023
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