Park Avenue Medical
Park Avenue Medical is an Internal Medicine Physician in Wallingford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2012.
- Licensed in
- CT
- In the registry since
- 2012
Practice location Address checks out
85 Barnes Rd Ste 202Wallingford, CT 06492
Phone: (203) 309-0070
Fax: (203) 309-0071
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Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 044791 (CT) |
|---|
Record details
| NPI number | 1740546399 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Anace Said — Business Owner · (203) 309-0070 |
| Other names | Park Avenue Medical Llc |
| NPI enumerated | April 9, 2012 |
| Last updated in NPPES | June 20, 2022 |
| Certification date | June 20, 2022 |
| Mailing address | 85 Barnes Rd Ste 202, Wallingford, CT 06492 |
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