| Reza Moien Md Internal Medicine Llc | |
|
850 N Main Street Ext Building#1, Suite D2 Wallingford CT 06492-2400 | |
| (203) 265-0298 | |
| (203) 265-0361 |
| Full Name | Reza Moien Md Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 850 N Main Street Ext, Wallingford, Connecticut |
| Authorized Official Name and Position | Mohammad Reza Moienafshari (OWNER) |
| Authorized Official Contact | 2032650298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reza Moien Md Internal Medicine Llc 850 N Main Street Ext Building#1, Suite D2 Wallingford CT 06492-2400 Ph: (203) 265-0298 | Reza Moien Md Internal Medicine Llc 850 N Main Street Ext Building#1, Suite D2 Wallingford CT 06492-2400 Ph: (203) 265-0298 |
| NPI Number | 1285813311 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 11/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285813311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 039581 (Connecticut) | Primary |
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