Tritown Family Practice LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

028466 Issued in CT

Legal business name

TRITOWN FAMILY PRACTICE LLC

Practice address

9 Wildwood Medical Ctr
Essex, CT 06426-1155

Phone

(860) 767-9940

Fax

(860) 767-9775

NPI assigned

Oct 8, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Louise M Maloney, M.D.

Title

Dr. Louise M. Maloney

Phone

(860) 767-9940

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1770734766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WILDWOOD MEDICAL CTR",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261155",
            "telephone_number": "860-767-9940",
            "fax_number": "860-767-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WILDWOOD MEDICAL CTR",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261155",
            "telephone_number": "860-767-9940",
            "fax_number": "860-767-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRITOWN FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DR. LOUISE M. MALONEY",
        "authorized_official_telephone_number": "860-767-9940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CT",
            "license": "028466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Essex, CT
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• Preferred Provider Organization in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.