James O Menzoian, MD
in Farmington, CT. Individual provider (NPI-1).
NPI number1952307977
StatusActive
Last updated in NPPESJun 28, 2012
Details
- NPI
- 1952307977
- Entity type
- Individual (NPI-1)
- Name
- James O Menzoian
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2005
- Last updated
- Jun 28, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | 043136 | CT | Yes |
Practice location
263 Farmington AveFarmington, CT 06030-0001
Phone 860-679-3540 · Fax 860-679-1390
Mailing address
263 Farmington AveProvider Enrollment
Farmington, CT 06030-2212
Phone 860-679-7503 · Fax 860-679-1610
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