Anis & Martin Internal Medicine Associates, LLC
Internal Medicine in South Windsor, CT. Organization (NPI-2).
NPI number1285675082
StatusActive
Last updated in NPPESAug 5, 2013
Details
- NPI
- 1285675082
- Entity type
- Organization (NPI-2)
- Legal business name
- Anis & Martin Internal Medicine Associates, LLC
- Organization subpart
- No
- Enumeration date
- Jun 10, 2006
- Last updated
- Aug 5, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 018083 | CT | Yes |
Practice location
1504 Sullivan AveSouth Windsor, CT 06074-2711
Phone 860-644-1523 · Fax 860-648-9468
Mailing address
Po Box 3136Vernon, CT 06066-2036
Phone 860-896-1422 · Fax 860-896-1425
Authorized official
Michael Martin
MD
8606441523
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