# NORTHEASTERN PULMONARY ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730134305
- **Authorized official:** MOHAMMAD SAUD ANWAR MD (MANAGING PARTNER)
- **Authorized official phone:** (860) 875-2444

## Contact information

- **Practice address:** 27 NAEK ROAD, SUITE 2, VERNON, CT 06066
- **Practice address phone:** (860) 875-2444
- **Practice address fax:** (860) 872-2936
- **Mailing address:** 27 NAEK RD, SUITE 2, VERNON, CT 06066-3942
- **Mailing address phone:** (860) 875-2444
- **Mailing address fax:** (860) 872-2936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 02/27/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 004395275 | STATE WELFARE, EDS PROGRA | CT |