Provider Demographics
NPI:1902481930
Name:CARE BEYOND MEDICINE PLLC
Entity Type:Organization
Organization Name:CARE BEYOND MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:MONGELLUZZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-527-7269
Mailing Address - Street 1:2247 E MAIN ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06705
Mailing Address - Country:US
Mailing Address - Phone:203-527-7269
Mailing Address - Fax:203-987-3220
Practice Address - Street 1:2247 E MAIN ST
Practice Address - Street 2:SUITE 103
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06705
Practice Address - Country:US
Practice Address - Phone:203-527-7269
Practice Address - Fax:203-987-3220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty