Organization
ORANGE INTERNAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AZIM SALIM FAHMI MBA (DIRECTOR OF OPERATIONS)
(203) 795-3617
Entity
Organization
Contact information
Practice address
240 INDIAN RIVER RD, SUITE C2, ORANGE, CT 06477-3649
(203) 795-3617
(203) 795-3618
Mailing address
PO BOX 762, ORANGE, CT 06477-0762
(203) 795-3617
(203) 795-3618
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
10/02/2006
Last updated
08/13/2013
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