Organization
ORANGE INTERNAL MEDICINE, LLC
Active
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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