Active NPIIndividual providerSole proprietor

Mary L Aquavia

Internal Medicine in Southbury, Connecticut

NPI Number1982791547
Practice location
690 Main St S Ste 1, Southbury, CT 06488-2387
Fax
—
Last updated
July 31, 2019

Mary Lizabeth Aquavia is an Internal Medicine based in Southbury, CT. Mary Lizabeth Aquavia practices in Southbury, CT. The NPI Number for Mary Lizabeth Aquavia is 1982791547 and holds a License No. 025685 (CT). The current practice location address for Mary Lizabeth Aquavia is 690 Main St S Ste 1, Southbury, CT 06488-2387 and can be reached out via phone at 203-262-4600.

Provider Profile Details

NPI Number
1982791547
Provider Name
Mary Lizabeth Aquavia
Provider Entity Type
Individual
Gender
Female
Address
690 Main St S Ste 1, Southbury, CT 06488-2387
Phone Number
203-262-4600
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 6, 2006
Last Update Date
July 31, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
690 Main St S Ste 1
Southbury, CT 06488-2387
Zip
06488-2387
Phone Number
203-262-4600
Southbury, CT 06488Get directions →

Provider Business Mailing Address Details

Address
385 Main St S
Southbury, CT 06488-4240
City
Southbury
State
CT
Zip
06488-4240

License Information

License Number
025685
License State
CT
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary L Aquavia?

The NPI number of Mary L Aquavia is 1982791547. It was assigned on October 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Mary L Aquavia?

Mary L Aquavia is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 025685.

Where does Mary L Aquavia practice?

The practice location is 690 Main St S Ste 1, Southbury, CT 06488-2387. The office can be reached at 203-262-4600 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1982791547 directly on the NPPES registry website.

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