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COASTAL DIGESTIVE DISEASES PC
NPI 1053441147
Family Medicine - Adult Medicine in New London, CT

Active since March 07, 2007
234 BANK ST, 4TH FLOOR, NEW LONDON, CT 06320(860) 442-0290(860) 442-2136 Get Directions Write a Review

NPPES record last updated: December 7, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coastal Digestive Diseases Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL DIGESTIVE DISEASES PC (NPI 1053441147) is a healthcare organization registered as an adult medicine in New London, Connecticut and active in the NPI registry since March 2007. The organization lists George S Ouellette, President, as its authorized official.

NPPES Registry Identity

NPI1053441147
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameCOASTAL DIGESTIVE DISEASES PC
Location Address234 BANK ST, 4TH FLOORNew London, CT 06320-6070
Mailing Address234a Bank St, 4th FloorNew London, CT 06320-6054 · (860) 442-0290 · Fax (860) 442-2136
Phone(860) 442-0290
Fax(860) 442-2136
Organization SubpartNo
Authorized OfficialGeorge S OuellettePresident · (860) 442-0290
Enumeration DateMarch 7, 2007
Last NPPES UpdateDecember 7, 2011
✔ NPI 1053441147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in CT · 3032224000
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 3032224000 (CT)
234 BANK ST, New London, CT 06320
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Digestive Diseases PC's NPI number?

The NPI number for Coastal Digestive Diseases PC is 1053441147. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Coastal Digestive Diseases PC located?

Coastal Digestive Diseases PC is located at 234 Bank St 4th Floor, New London, CT 06320. The listed phone number is (860) 442-0290.

What is Coastal Digestive Diseases PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Coastal Digestive Diseases PC was last updated on December 7, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.