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Physicians Internal Medicine

Provider NPI: 1982847588

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
Tel: 203-200-4363  Fax: --

Business Mailing Address:
333 CEDAR ST P.O. BOX 208028 NEW HAVEN, CT 06510-3206 US
Tel: 203-200-4363  Fax: 203-200-6385

NPI Information:
NPI: 1982847588
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207RH0003X





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