Dr. Mitchell Gene Moffat
Family Doctor Emergency Physician Family Doctor - Addiction Medicine Internist - Addiction Medicine
546 Cromwell Ave Ste 101
Rocky Hill
, Connecticut 06067-1898
Dr. Mitchell Gene Moffat
Family Doctor Emergency Physician Family Doctor - Addiction Medicine Internist - Addiction Medicine
546 Cromwell Ave Ste 101
Rocky Hill
, Connecticut 06067-1898
(860) 757-3875
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About
Features
Specialties
- Emergency Physician
- Family Doctor
- Family Doctor - Addiction Medicine
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Mitchell Gene Moffat
- 546 Cromwell Ave Ste 101
- Rocky Hill, CT
- Zip : 06067-1898
- Fax : (860) 757-3875
- Phone : (860) 757-3874
Second Address
- Dr. Mitchell Gene Moffat
- 546 Cromwell Ave Ste 101
- Rocky Hill, CT
- Zip : 06067-1898
- Fax : (860) 757-3875
- Phone : (860) 757-3874
Reviews
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Is Dr. Mitchell Gene Moffat a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 031530 | CT |
| N | 207Q00000X | Family Doctor | 031530 | CT |
| N | 207QA0401X | Family Doctor - Addiction Medicine | 031530 | CT |
| Y | 207RA0401X | Internist - Addiction Medicine | 031530 | CT |
National Provider Identifier
| NPI | 1174798060 |
|---|---|
| Provider Name | Dr. Mitchell Gene Moffat |
| First Address | Rocky Hill, CT 06067-1898 |
| Second Address | Rocky Hill, CT 06067-1898 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/04/2008 |
| Last Update Date | 09/07/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A51364 | (02) | ID |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.