Organization
PARK AVENUE MEDICAL
Active
Organization
PARK AVENUE MEDICAL
Active
Other names
Park Avenue Medical LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANACE SAID MD (BUSINESS OWNER)
(203) 309-0070
Entity
Organization
Contact information
Practice address
85 BARNES RD STE 202, WALLINGFORD, CT 06492
(203) 309-0070
(203) 309-0071
Mailing address
85 BARNES RD STE 202, WALLINGFORD, CT 06492
(203) 309-0070
(203) 309-0071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
044791
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008002162
—
CT
Enumeration date
04/09/2012
Last updated
06/20/2022
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