Reza Moien Md Internal Medicine Llc | |
850 N Main Street Ext Building#1, Suite D2 Wallingford CT 06492-2400 | |
(203) 265-0298 | |
(203) 265-0361 |
Full Name | Reza Moien Md Internal Medicine Llc |
---|---|
Speciality | Internal Medicine |
Location | 850 N Main Street Ext, Wallingford, Connecticut |
Authorized Official Name and Position | Mohammad Reza Moienafshari (OWNER) |
Authorized Official Contact | 2032650298 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Reza Moien Md Internal Medicine Llc 850 N Main Street Ext Building#1, Suite D2 Wallingford CT 06492-2400 Ph: (203) 265-0298 | Reza Moien Md Internal Medicine Llc 850 N Main Street Ext Building#1, Suite D2 Wallingford CT 06492-2400 Ph: (203) 265-0298 |
NPI Number | 1285813311 |
---|---|
Provider Enumeration Date | 10/25/2007 |
Last Update Date | 11/02/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285813311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 039581 (Connecticut) | Primary |
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