Organization
MIDDLESEX HOSPITAL
Active
Parent organization
MIDDLESEX HOSPITAL
Other names
Middlesex Hospital dba Middlesex Hospital Physician Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDDLESEX HOSPITAL
Authorized official
VINCENT G. CAPECE JR. (CEO)
(860) 358-6140
Entity
Organization
Contact information
Practice address
80 S MAIN ST, MIDDLETOWN, CT 06457-3648
(860) 358-6394
(860) 358-6094
Mailing address
80 S MAIN ST, MIDDLETOWN, CT 06457-3648
(860) 358-6394
(860) 358-6094
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
CT
207Q00000X
Family Medicine Physician
—
CT
207QA0505X
Adult Medicine Physician
53426
CT
207R00000X
Internal Medicine Physician
—
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
CT
207RI0200X
Infectious Disease Physician
—
CT
207RP1001X
Pulmonary Disease Physician
—
CT
2084N0400X
Neurology Physician
—
CT
208M00000X
Hospitalist Physician
—
CT
363AM0700X
Medical Physician Assistant
—
CT
363L00000X
Nurse Practitioner
001743
CT
363LA2100X
Acute Care Nurse Practitioner
—
CT
363LA2200X
Adult Health Nurse Practitioner
—
CT
363LF0000X
Family Nurse Practitioner
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004121125
—
CT
01
—
CK1085
RR MEDICARE
CT
Enumeration date
03/23/2006
Last updated
04/03/2019
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