Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southern Connecticut Geriatric & Preventive Medicine LLC

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1679701882

Southern Connecticut Geriatric & Preventive Medicine LLC provides Geriatric Medicine (Internal Medicine) Physician services in New Haven, Connecticut. Licensed in Connecticut. Registered with an NPI since 2009.

Licensed in
CT
In the registry since
2009
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

390 Livingston St
New Haven, CT 06511-1336
Phone: (203) 871-9224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence 041288 (CT)
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X · Licence 041288 (CT)

Record details

NPI number1679701882
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Asefeh Heiat — Member · (203) 871-9224
NPI enumeratedJune 25, 2009
Last updated in NPPESOctober 4, 2021
Certification dateOctober 4, 2021
Mailing address390 Livingston St, New Haven, CT 06511-1336

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