Provider Demographics
NPI:1598795205
Name:FPIM OF NEW HAVEN COUNTY,LLC
Entity Type:Organization
Organization Name:FPIM OF NEW HAVEN COUNTY,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELO
Authorized Official - Middle Name:
Authorized Official - Last Name:ACCOMANDO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-466-5070
Mailing Address - Street 1:205 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EAST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06512-3003
Mailing Address - Country:US
Mailing Address - Phone:203-466-5070
Mailing Address - Fax:203-466-5075
Practice Address - Street 1:205 MAIN ST
Practice Address - Street 2:
Practice Address - City:EAST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06512-3003
Practice Address - Country:US
Practice Address - Phone:203-466-5070
Practice Address - Fax:203-466-5075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty