JEFREY SALEK


Address: 79 Wawecus St., Suite 101, Norwich, CT 06360-2173
Phone: 8608862655

JEFREY SALEK (NPI# 1962656314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962656314
Entity Type Individual
Full Name JEFREY SALEK
Credential MD
Practice Address 79 Wawecus St.
Suite 101
Norwich
CT 06360-2173
Practice Telephone 8608862655
Practice Fax Number 8608879003
Mailing Telephone 8608862655
Mailing Fax Number 8608879003
Enumeration Date 2008-11-12
Last Update Date 2013-02-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
050701 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT OXFORD UNITED HEALTHCARE P4569410 01
CT CIGNA 5064741 01
CT CONNECTICARE 507010 01
CT ANTHEM BLUE CROSS BLUE SHIELD OF CT 010050701CT01 01

Office Location

Street Address 79 WAWECUS ST.
SUITE 101
City NORWICH
State CT
Zip Code 06360-2173

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1609335397 Chanel Justice Social Worker 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 2019-03-13
1457700189 Michelle Pressler Pharmacist 634 West Main St, Norwich, CT 06360 2016-06-03
1265895726 Katie Johnson Social Worker 18 Oneco Street, Norwich, CT 06360 2016-04-01
1871956623 Lori Deslandes-paz Pharmacist 372 West Main Street, Norwich, CT 06360 2016-03-30
1336526193 Keep An Open Mind, LLC Marriage & Family Therapist 12 Cass Street, Suite 202, Norwich, DC 06360 2015-04-30
1588084446 Kinneri Kothari Ophthalmology 79 Wawecus St Ste 105, Norwich, CT 06360 2014-04-18
1962746537 Robin B Smith Social Worker 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 2012-11-20
1063766400 Colleen Ellen Phillips-white Social Worker 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 2012-11-07
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629132030 Eng Chiong T. Lim, M.d., P.C. Internal Medicine 49 Cortland St, Norwich, NY 13815-1318 2006-12-20
1316280803 Sang and Sridhar Digestive Disease Consultants LLC Internal Medicine 79 Wawecus St, Suite 102, Norwich, CT 06360-2160 2013-04-03
1316264286 Sunita Sidhu-buonocore Internal Medicine 79 Wawecus St, Suite 101, Norwich, CT 06360-2160 2010-04-30
1356500532 Shivani Sood Internal Medicine 79 Wawecus St, Suite 101, Norwich, CT 06360-2160 2008-06-03
1689846511 Natalee Simone Sansone Internal Medicine 79 Wawecus St, Suite 101, Norwich, CT 06360-2160 2008-04-01
1306053160 Vaibhav A Mehendiratta Internal Medicine 105 Wawecus St, Norwich, CT 06360-2146 2007-05-17
1982671087 Norwich Gi Associates, P.C. Internal Medicine 79 Wawecus St, Suite 101, Norwich, CT 06360-2160 2006-03-07
1861489585 Abera H Abay Internal Medicine 79 Wawecus St, Suite 101, Norwich, CT 06360-2160 2005-09-29
1104813724 Tonya E.l. Hall Internal Medicine 105 Wawecus St, Suite 1, Norwich, CT 06360-2146 2005-09-29
1275520892 You Sung Sang Internal Medicine 105 Wawecus St, Suite 1, Norwich, CT 06360-2146 2005-09-29
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Competitor

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City NORWICH
Zip Code 06360

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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