Organization Name: | THE PERSONALIZED MEDICINE GROUP OF CONNECTICUT |
NPI Number: | 1043457245 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN ANDREW MURPHY (MANAGING PARTNER) |
Mailing Address: | 2015 W Main St Suite 100 Stamford |
State: | CT US |
Postal Code: | 069024536 |
Phone Number: | 2036170742 |
Fax Number: | 2129189394 |
NPI Enumeration Date: | 01/10/2009 |
NPI Last Update Date: | 01/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207SG0201X |
License Number: | 046225 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Medical Genetics |
Taxonomy Specialization: | Clinical Genetics (M.D.) |
Taxonomy Definition: | A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |