Organization
DANBURY INTERNAL MEDICINE ASSOCIATES PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA NEWMAN (EXECUTIVE DIRECTOR)
(203) 830-4607
Entity
Organization
Contact information
Practice address
16 HOSPITAL AVE, SUITE 102, DANBURY, CT 06810-5927
(203) 830-4607
(203) 743-8096
Mailing address
16 HOSPITAL AVE, SUITE 102, DANBURY, CT 06810-5927
(203) 830-4607
(203) 743-8096
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004000857
—
CT
Enumeration date
04/26/2006
Last updated
11/29/2010
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