Organization
AVON ALLIES LLC
Active
Other names
Allies Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAUMAN J MUFTI MD (MEDICAL DIRECTOR)
(860) 678-9900
Entity
Organization
Contact information
Practice address
2 BRIDGEWATER RD STE 100, FARMINGTON, CT 06032-2269
(860) 678-9900
Mailing address
2 BRIDGEWATER RD STE 100, FARMINGTON, CT 06032-2269
(860) 678-9900
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
039306
CT
Other
Enumeration date
03/27/2011
Last updated
03/27/2011
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