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Avon Medical Wellness Center Llc
Medical Physician Assistant in Simsbury, Connecticut
NPI 1134509615

Avon Medical Wellness Center Llc is a Medical Physician Assistant based in Simsbury, CT and is specialized in Medical. Avon Medical Wellness Center Llc practices in Simsbury, CT. The NPI Number for Avon Medical Wellness Center Llc is 1134509615 and holds a License No. 047333 (Connecticut).

The current practice location address for Avon Medical Wellness Center Llc is 540 Hopmeadow St, Simsbury, CT and can be reached out via phone at 860-272-4646 and via fax at 860-272-4642.

Location: 540 Hopmeadow St, Simsbury, CT, 06070-2496
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134509615
Provider Name
Avon Medical Wellness Center Llc
Credential
Provider Entity Type
Organization
Address
540 Hopmeadow St, Simsbury, CT, 06070-2496
Phone Number
860-272-4646
Fax Number
860-272-4642
Provider Enumeration Date
06/01/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 CT
047333 01 CT STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
540 Hopmeadow St
City
Simsbury
State
Connecticut
Zip
06070-2496
Phone Number
860-272-4646
Fax Number
860-272-4642
person
Provider Business Mailing Address Details
Address
540 Hopmeadow St
City
Simsbury
State
Connecticut
Zip
06070-2496
Phone Number
860-272-4646
Fax Number
860-272-4642
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
001816 (Connecticut)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
047333 (Connecticut)
Definition
Definition to come...
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