Organization
ADVANCED CARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TATYANA B FRENKEL M.D. (OWNER/PHYSICIAN)
(203) 298-0650
Entity
Organization
Contact information
Practice address
264 AMITY RD, SUITE 101, WOODBRIDGE, CT 06525-2200
(203) 298-0650
(203) 298-0973
Mailing address
264 AMITY RD, SUITE 101, WOODBRIDGE, CT 06525-2200
(203) 298-0650
(203) 298-0973
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
037467
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001374678
—
CT
Enumeration date
03/21/2008
Last updated
03/21/2008
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