Provider Demographics
NPI:1780339218
Name:MEDCARE PLLC
Entity type:Organization
Organization Name:MEDCARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANNUZZI RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-526-6594
Mailing Address - Street 1:33 HARBORVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-6540
Mailing Address - Country:US
Mailing Address - Phone:646-537-5454
Mailing Address - Fax:475-549-8894
Practice Address - Street 1:33 HARBORVIEW AVE
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-6540
Practice Address - Country:US
Practice Address - Phone:646-537-5454
Practice Address - Fax:475-549-8894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-14
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty