NPI 1881780773

Seaport Clinic LLC

Organisation Internal Medicine Physician Mystic, CT

Practice location

Address: 56 Whitehall Ave Rt 27, Mystic, CT 06355
Phone: (860) 572-8282
Fax: (860) 572-7445

Authorised official

Name: Marie Altana Chiaradio
Title: Office Manager
Phone: (860) 572-8282

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Connecticut →

Registry record

NPI: 1881780773
Entity type: Organization
NPI issued: 5 Oct 2006
Record last updated: 22 Aug 2020

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.