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ORANGE INTERNAL MEDICINE LLC NPI 1518051002


NPI Information

NPI: 1518051002
Provider Name: ORANGE INTERNAL MEDICINE, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 07D1041461

Address:
240 INDIAN RIVER RD
SUITE C2
ORANGE, CT
ZIP 06477
Phone: (203) 795-3617
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ORANGE INTERNAL MEDICINE, LLC is an internal medicine in Orange, CT. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ORANGE INTERNAL MEDICINE, LLC NPI is 1518051002. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

240 INDIAN RIVER RD
SUITE C2
ORANGE, CT
ZIP 06477-649
Phone: (203) 795-3617
Fax: (203) 795-3618

The provider's authorized official is Azim Salim Fahmi .
The authorized official title is Director Of Operations and has the following contact phone number (203) 795-3617.

The CLIA number assigned to this NPI record is 07D1041461 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 8/13/2013.


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
1208D00000XGeneral PracticeNo
2261QP2300XClinic/CenterPrimary CareNo
3207R00000XInternal MedicineYes

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
1C3190MEDICARE PIN

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: 4/28/2024

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