Thompson Medical Center LLC

Organization Active NPI Family Medicine Physician · North Grosvenordale, CT

NPI 1013136019 · NPPES record last updated Sep 19, 2007

Key facts

NPI
1013136019
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
THOMPSON MEDICAL CENTER LLC
Practice address
415 Riverside Dr
Suite 1
North Grosvenordale, CT 06255-2165
Phone
(860) 923-1181
Fax
(860) 923-1822
NPI assigned
Apr 25, 2007
Organization subpart
No

Authorized official

Name
Dr. Nita Chatterjee, M.D.
Title
President
Phone
(860) 923-1181

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

415 Riverside Dr
Ste 1
North Grosvenordale, CT 06255
Phone (860) 923-1181

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

415 Riverside Dr
Suite 1
North Grosvenordale, CT 06255-2165

Mailing address

415 Riverside Dr
Suite 1
North Grosvenordale, CT 06255-2165
Phone (860) 923-1181

Other identifiers

IdentifierTypeStateIssuer
004221587MedicaidCT

Other providers in North Grosvenordale, CT

All providers in North Grosvenordale, CT · Family Medicine Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.