West Haven Medical Group, LLC

NPI #1417955923 in West Haven, Connecticut

Provider Information

NPI Number
1417955923
Entity Type
Organization
Organization Name
West Haven Medical Group, LLC
Primary Specialty
Internal Medicine
Enumeration Date
Jul 8, 2005
Last Updated
Jan 21, 2014

Practice Location

Address
687 CAMPBELL AVE
ZIP Code
06516-3774
Phone
(203) 932-6481

Authorized Official

Name
DR. ANURUDDHA WALALIYADDA, M.D.
Title
MANAGING PARTNER
Phone
(203) 932-6481

Specialties & Taxonomy Codes

Specialty
Family Medicine - Adult MedicineAdult Medicine
Internal Medicine

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