| Organization Name: | MEDICAL SPECIALTY GROUP, P.C. |
| NPI Number: | 1114923893 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUDITH MARIE ORTIZ (CREDENTIALING COORDINATOR) |
| Mailing Address: | 917 Bridgeport Ave Shelton |
| State: | CT US |
| Postal Code: | 064844679 |
| Phone Number: | 2036834500 |
| Fax Number: | 2039261410 |
| NPI Enumeration Date: | 06/27/2005 |
| NPI Last Update Date: | 10/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 016805 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |