Organization
INTERNAL MEDICINE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH T TOMANELLI M.D. (PARTNER-PRESIDENT/SECRETARY)
(203) 626-6511
Entity
Organization
Contact information
Practice address
67 MASONIC AVE, SUITE 3100, WALLINGFORD, CT 06492-3095
(203) 626-6511
(203) 284-3150
Mailing address
67 MASONIC AVE, SUITE 3100, WALLINGFORD, CT 06492-3095
(203) 626-6511
(203) 284-3150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
363A00000X
Physician Assistant
001243
CT
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004002341
—
CT
05
—
004219483
—
CT
Enumeration date
07/22/2006
Last updated
07/31/2013
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