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SEAPORT MEDICAL CENTER
NPI 1881780773
Internal Medicine in Mystic, CT

Active since October 05, 2006
56 WHITEHALL AVE, RT 27, MYSTIC, CT 06355(860) 572-8282(860) 572-7445 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Seaport Medical Center NPPES

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

SEAPORT MEDICAL CENTER (NPI 1881780773) is a healthcare organization registered as an internal medicine in Mystic, Connecticut and active in the NPI registry since October 2006. The organization lists Marie Altana Chiaradio, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1881780773
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSEAPORT CLINIC LLC
Location Address56 WHITEHALL AVE, RT 27Mystic, CT 06355
Mailing Address56 Whitehall Ave, Rt 27Mystic, CT 06355 · (860) 572-8282 · Fax (860) 572-7445
Phone(860) 572-8282
Fax(860) 572-7445
Organization SubpartNo
Authorized OfficialMarie Altana ChiaradioOffice Manager · (860) 572-8282
Enumeration DateOctober 5, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1881780773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
56 WHITEHALL AVE, Mystic, CT 06355
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Other Names 1

Doing Business AsSeaport Medical Center

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. EDMUND A P WEST MD
Internal Medicine
56 WHITEHALL AVE, RT 27
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 572-8282
J. ANDREW HALLBERG, MD, LLC
Specialist
56 WHITEHALL AVE, SUITE A
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-0773
ANNETTE L HEADLEY MD LLC
Dermatology
56 WHITEHALL AVE
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-1354

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 Seaport Clinic LLC's NPI number?

The NPI number for Seaport Clinic LLC is 1881780773. It was assigned to this organization in the NPPES registry on October 5, 2006. The provider is doing business as Seaport Medical Center.

Where is Seaport Clinic LLC located?

Seaport Clinic LLC is located at 56 Whitehall Ave Rt 27, Mystic, CT 06355. The listed phone number is (860) 572-8282.

What is Seaport Clinic LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Seaport Clinic LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.