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AVON ALLIES LLC NPI 1548569718


NPI Information

NPI: 1548569718
Provider Name: AVON ALLIES LLC

Doing Business As: ALLIES MEDICAL GROUP

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 07D2043441

Address:
2 BRIDGEWATER RD STE 100
FARMINGTON, CT
ZIP 06032
Phone: (860) 678-9900
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AVON ALLIES LLC is a clinic center in Farmington, CT. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). AVON ALLIES LLC NPI is 1548569718. The provider is registered as an organization entity type.
The provider Is Doing Business As Allies Medical Group.

The provider's business location address is:

2 BRIDGEWATER RD STE 100
FARMINGTON, CT
ZIP 06032-269
Phone: (860) 678-9900

The provider's authorized official is Nauman J Mufti .
The authorized official title is Medical Director and has the following contact phone number (860) 678-9900.

The CLIA number assigned to this NPI record is 07D2043441 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2011 and was last updated on 3/27/2011.


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
1261Q00000XClinic/Center039306CONNECTICUTYes

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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