Westside Medical Group
NPI #1083724967 in Waterbury, Connecticut
Provider Information
- NPI Number
- 1083724967
- Entity Type
- Organization
- Organization Name
- Westside Medical Group
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 30, 2006
- Last Updated
- Jan 23, 2012
Practice Location
- Address
- 714 CHASE PARKWAY
- Address 2
- SUITE 6
- City
- Waterbury
- State
- Connecticut
- ZIP Code
- 06708-3939
- Phone
- (203) 755-4577
Authorized Official
- Name
- DR. MARK LAWRENCE KRAUS, MD
- Title
- PRESIDENT
- Phone
- (203) 755-4577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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