ALLIANCE MEDICAL GROUP OF GREATER WATERBURY PC

MIDDLEBURY, CT
NPI1750306015
Entity TypeOrganization
Authorized ContactMARK ARESCO
President
203-573-9512
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
207RI0200X Internal Medicine, Infectious Disease
207RP1001X Internal Medicine, Pulmonary Disease
207RR0500X Internal Medicine, Rheumatology
208000000X Pediatrics
208600000X Surgery
208M00000X Hospitalist
363AM0700X Physician Assistant, Medical
363LA2200X Nurse Practitioner, Adult Health
363LF0000X Nurse Practitioner, Family
363LG0600X Nurse Practitioner, Gerontology
363LP0200X Nurse Practitioner, Pediatrics
2086S0129X Surgery, Vascular Surgery
207Q00000X Family Medicine
Enumeration Date2006-07-13
Last Update Date2009-09-03
Business Address
ALLIANCE MEDICAL GROUP OF GREATER WATERBURY PC
1625 STRAITS TPKE
MIDDLEBURY, CT 06762-1836
Phone number: 203-573-9512
Mailing Address
ALLIANCE MEDICAL GROUP OF GREATER WATERBURY PC
1625 STRAITS TPKE SUITE #301
MIDDLEBURY, CT 06762-1836
Phone number: 203-573-9512