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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