Internal Medicine Specialists

NPI 1245410406 - Internal Medicine - 207RE0101X

NPI Details
NPI 1245410406
Enumeration Date 11/05/2007
Last Updated 05/21/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LAURA A LAURA
Position MANAGER
Phone (203) 597-0393
Fax
Practice Location
1389 W MAIN ST
STE 224
WATERBURY CT, 06708-3104, US
Phone (203) 597-0393
Fax
Business Location
1389 WEST MAIN ST
STE 224
WATERBURY CT, 06708-0000, US
Phone (203) 597-0393
Fax
Toxanomy
Taxonomy Code 207RE0101X
License State Connecticut
License Number 19477
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According to our database, Internal Medicine Specialists NPI is 1245410406, taxonomy code is 207RE0101X and license number is 19477, license state is located at Connecticut. Internal Medicine Specialists physically located at 1389 W Main St, Waterbury CT, 06708-3104. NPI Number 1033115704 has the healthcare provider type.

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1245410406 NPI number is provided on an as is basis without warranty of any kind. 1245410406 is maintained by the National Plan & Provider Enumeration System. The contents of Internal Medicine Specialists are for informational purposes only.