Organization
REZA MOIEN MD INTERNAL MEDICINE LLC
Active
Organization
REZA MOIEN MD INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD REZA MOIENAFSHARI M.D. (OWNER)
(203) 265-0298
Entity
Organization
Contact information
Practice address
850 N MAIN STREET EXT, BUILDING#1, SUITE D2, WALLINGFORD, CT 06492-2400
(203) 265-0298
(203) 265-0361
Mailing address
850 N MAIN STREET EXT, BUILDING#1, SUITE D2, WALLINGFORD, CT 06492-2400
(203) 265-0298
(203) 265-0361
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
039581
CT
Other
Enumeration date
10/25/2007
Last updated
11/02/2012
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