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Contact Information

INTERNAL MEDICINE AND INFECTIOUS DISEASE ASSOCIATED P.C.
3241 MAIN STREET
SUITE B
STRATFORD, CT06614
 Phone: 203-383-4466
 Fax: 203-383-4499
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for INTERNAL MEDICINE AND INFECTIOUS DISEASE ASSOCIATED PC · (Female)

NPI # 1609092121
Status Active
Credentials
Entity Individual
Enumeration date 04/17/2007
Last updated 06/12/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • CT Medicaid 4223872
  • CT Other 88817 AETNA
  • CT Other C02852 MEDICARE PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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