OrganizationActive
Advancedcare Associates
NPI 1164626974 · Family Medicine Physician · Old Saybrook, CT
Provider details
- NPI number
- 1164626974
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelly Johnson, Credentialing Coordinator(860) 510-0888
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
20 Research Pkwy
Old Saybrook, CT 06475-4214
Phone: (860) 510-0888
Fax: (860) 510-0020
Approximate (ZIP-level) locationGet directions
Mailing address
20 Research Pkwy
Old Saybrook, CT 06475-4214
Registry dates
- Enumerated
- 2007-06-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.