| Orange Internal Medicine, Llc | |
|
240 Indian River Rd Suite C2 Orange CT 06477-3649 | |
| (203) 795-3617 | |
| (203) 795-3618 |
| Full Name | Orange Internal Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 240 Indian River Rd, Orange, Connecticut |
| Authorized Official Name and Position | Azim Salim Fahmi (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 2037953617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange Internal Medicine, Llc Po Box 762 Orange CT 06477-0762 Ph: (203) 795-3617 | Orange Internal Medicine, Llc 240 Indian River Rd Suite C2 Orange CT 06477-3649 Ph: (203) 795-3617 |
| NPI Number | 1518051002 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 08/13/2013 |
| Medicare PECOS PAC ID | 1658340518 |
|---|---|
| Medicare Enrollment ID | O20040928000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518051002 | NPI | - | NPPES |
| Provider Name | Nasiha Fahmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629113980 PECOS PAC ID: 4587632096 Enrollment ID: I20040922000837 |
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