MEDICARE: SOUTHERN CONNECTICUT INTERNAL MEDICINE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174513543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHERN CONNECTICUT INTERNAL MEDICINE

Provider Business Mailing Address
First Line	:	150 SARGENT DR
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06511-6110
Country	:	US
Telephone Number	:	203-781-4444
Fax Number	:	203-789-8341

Provider Business Practice Location Address
First Line	:	150 SARGENT DR
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06511-6110
Country	:	US
Telephone Number	:	203-781-4444
Fax Number	:	203-789-8341

Authorized Official
Title or Position	:	FINANCIAL OFFICER
Name	:	DR. SAM GELLER
Credential	:	M.D.
Telephone Number	:	203-781-4444

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	09/03/2008

Similar Medicare Providers

1932199288 — DR. LEE JUNG M.D.
Practice Location Address:

150 SARGENT DR
NEW HAVEN, CT
06511-6110

Practice Phone: 203-781-4444
Practice Fax: 203-789-8341

1861476632 — LUCILLE A SEMERARO MD
Practice Location Address:

150 SARGENT DR , STE 6
NEW HAVEN, CT
06511-6110

Practice Phone: 203-781-4321
Practice Fax: 203-781-4329

1982680948 — KATHLEEN ANNE FEARN MD
Practice Location Address:

150 SARGENT DR , STE 6
NEW HAVEN, CT
06511-6110

Practice Phone: 203-781-4321
Practice Fax: 203-781-4329

1518943588 — DENNIS P. DURANTE MD
Practice Location Address:

150 SARGENT DR , STE 6
NEW HAVEN, CT
06511-6110

Practice Phone: 203-781-4321
Practice Fax: 203-781-4329

1972805364 — BROOKDALE SENIOR LIVING COMMUNITIES, INC.
Practice Location Address:

6110 CYPRESS GARDENS BLVD
WINTER HAVEN, FL
33884-4150

Practice Phone: 863-318-8055
Practice Fax: 863-326-1103

1477835346 — ELIZABETH A ARMSTRONG LCSW
Practice Location Address:

343 BEACH ST , UNIT 203
WEST HAVEN, CT
06516-6110

Practice Phone: 203-623-6587
Practice Fax: 203-932-3896

Directions to “SOUTHERN CONNECTICUT INTERNAL MEDICINE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.