Healthcare Provider Details

I. General information

NPI: 1982183422
Provider Name (Legal Business Name): HOSPITALIST MEDICINE PHYSICIANS OF CONNECTICUT -TCG, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2018
Last Update Date: 08/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 GAYLORD FARM RD
WALLINGFORD CT
06492-2828
US

IV. Provider business mailing address

5410 MARYLAND WAY STE 300
BRENTWOOD TN
37027-5339
US

V. Phone/Fax

Practice location:
  • Phone: 203-679-3553
  • Fax: 855-206-2136
Mailing address:
  • Phone: 615-377-5658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ROB BESSLER
Title or Position: PRESIDENT
Credential:
Phone: 615-377-5658