| Mansoor Anwer Md Llc | |
|
1163 S Broad St Wallingford CT 06492-1713 | |
| (860) 856-1225 | |
| Not Available |
| Full Name | Mansoor Anwer Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1163 S Broad St, Wallingford, Connecticut |
| Authorized Official Name and Position | Mansoor Anwer Zaidi (DIRECTOR) |
| Authorized Official Contact | 8608561225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mansoor Anwer Md Llc 1163 S Broad St Wallingford CT 06492-1713 Ph: () - | Mansoor Anwer Md Llc 1163 S Broad St Wallingford CT 06492-1713 Ph: (860) 856-1225 |
| NPI Number | 1982299772 |
|---|---|
| Provider Enumeration Date | 03/04/2021 |
| Last Update Date | 06/01/2021 |
| Medicare PECOS PAC ID | 9133520794 |
|---|---|
| Medicare Enrollment ID | O20210702001061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982299772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mansoor Anwer Zaidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861411647 PECOS PAC ID: 2668434374 Enrollment ID: I20130221000014 |
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