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DANBURY INTERNAL MEDICINE ASSOCIATES PROF CORP NPI 1164488177


NPI Information

NPI: 1164488177
Provider Name: DANBURY INTERNAL MEDICINE ASSOCIATES PROF CORP
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
16 HOSPITAL AVE
SUITE 102
DANBURY, CT
ZIP 06810
Phone: (203) 830-4607
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DANBURY INTERNAL MEDICINE ASSOCIATES PROF CORP is a specialist in Danbury, CT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DANBURY INTERNAL MEDICINE ASSOCIATES PROF CORP NPI is 1164488177. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16 HOSPITAL AVE
SUITE 102
DANBURY, CT
ZIP 06810-927
Phone: (203) 830-4607
Fax: (203) 743-8096

The provider's authorized official is Linda Newman .
The authorized official title is Executive Director and has the following contact phone number (203) 830-4607.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 11/29/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERCONNECTICUTTAX ID
2C00368MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUTMEDICARE ID
3004000857MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.