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07D0999496 CLIA NUMBER - INTERNAL MED & INFECTIOUS DISEASES ASSOCIATES, PC

Laboratory Demographics

CLIA Number: 07D0999496

Facility Name: INTERNAL MED & INFECTIOUS DISEASES ASSOCIATES, PC

Facility Address:
3241 MAIN ST SUITE B
STRATFORD, CT
ZIP 06614
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Facility Phone Number: 203 209-1237

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1770881153

Taxonomy: 207R00000X - Internal Medicine
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.

CLIA Record

Field Name Field Value
CLIA Number 07D0999496
LAB Type Physician Office
Facility Name INTERNAL MED & INFECTIOUS DISEASES ASSOCIATES, PC
Street 3241 MAIN ST SUITE B
City STRATFORD
State CT
ZIP 06614
Phone 203 209-1237
CertificateType 4
CertificateEffectiveDate 5/15/2022
CertificateExpirationDate 5/14/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024