NPI 1457688020

Internal Medicine of Guilford LLC

Organisation Internal Medicine Physician Guilford, CT

Practice location

Address: 96a Broad St, Guilford, CT 06437-2635
Phone: (203) 453-3621

Authorised official

Name: Charles Evans Glass
Title: Single Member of LLC
Phone: (203) 500-2080

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 044810 (CT)

Other Internal Medicine providers in Connecticut →

Registry record

NPI: 1457688020
Entity type: Organization
NPI issued: 3 Nov 2009
Record last updated: 19 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.