Dr. Roberto Medina, Md Llc

NPI 1083798821 - Specialist - 174400000X

NPI Details
NPI 1083798821
Enumeration Date 10/25/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROBERTO ROBERTO
Position OWNER
Phone (860) 257-4470
Fax (860) 257-4479
Practice Location
415 SILAS DEANE HWY
SUITE 210
WETHERSFIELD CT, 06109-2124, US
Phone (860) 257-4470
Fax (860) 257-4479
Business Location
415 SILAS DEANE HWY
SUITE 210
WETHERSFIELD CT, 06109-2124, US
Phone (860) 257-4470
Fax (860) 257-4479
Toxanomy
Taxonomy Code 174400000X
License State
License Number
Remove 1083798821 NPI Number
 

According to our database, Dr. Roberto Medina, Md Llc NPI is 1083798821, taxonomy code is 174400000X Dr. Roberto Medina, Md Llc physically located at 415 Silas Deane Hwy, Wethersfield CT, 06109-2124. NPI Number 1033115704 has the healthcare provider type.

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1083798821 NPI number is provided on an as is basis without warranty of any kind. 1083798821 is maintained by the National Plan & Provider Enumeration System. The contents of Dr. Roberto Medina, Md Llc are for informational purposes only.