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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