Individual
AISTE NORBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
258 SPIELMAN HWY, BURLINGTON, CT 06013-1723
(860) 404-1721
(860) 404-0421
Mailing address
258 SPIELMAN HWY, BURLINGTON, CT 06013-1723
(860) 404-1721
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
039384
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001393842
—
CT
01
—
110010364
MEDICARE PTAN
CT
Enumeration date
10/05/2005
Last updated
01/10/2012
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