Organization · Type 2 NPI

East Avenue Medical Associates, LLC

Specialist · Norwalk, CT

NPI number 1275562019 Active

Practice location

148 East Ave, 2L
Norwalk, CT 06851-5721

Fax (203) 831-8120

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X017524 (CT)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1275562019

East Avenue Medical Associates, LLC's National Provider Identifier is 1275562019, issued on Jul 2, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Norwalk, CT. The record was last updated on Aug 22, 2020.