| Ledge Light Medical Assocates, Llc | |
|
419 Montauk Ave New London CT 06320-4621 | |
| (860) 442-4442 | |
| (860) 442-4446 |
| Full Name | Ledge Light Medical Assocates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 419 Montauk Ave, New London, Connecticut |
| Authorized Official Name and Position | Craig R. Buggeln (PHYSICIAN/OWNER) |
| Authorized Official Contact | 8604424442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ledge Light Medical Assocates, Llc 196 Parkway S Suite 304 Waterford CT 06385-1234 Ph: (860) 442-7027 | Ledge Light Medical Assocates, Llc 419 Montauk Ave New London CT 06320-4621 Ph: (860) 442-4442 |
| NPI Number | 1376580258 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 09/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376580258 | NPI | - | NPPES |
| 001354208 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 035420 (Connecticut) | Primary |
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