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NPI Profile for AVON MEDICAL WELLNESS CENTER LLC in SIMSBURY, CT.
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI # | 1134509615 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/01/2015 | |
| Last updated | 12/14/2016 - About 9 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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AVON MEDICAL WELLNESS CENTER LLC
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AVON MEDICAL WELLNESS CENTER LLC