| Organization Name: | ORANGE INTERNAL MEDICINE, LLC |
| NPI Number: | 1447683446 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AZIM SALIM FAHMI (DIRECTOR OF OPERATIONS) |
| Mailing Address: | 4699 Main St Suite 102 Bridgeport |
| State: | CT US |
| Postal Code: | 066061830 |
| Phone Number: | 2037953617 |
| Fax Number: | |
| NPI Enumeration Date: | 08/13/2013 |
| NPI Last Update Date: | 08/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |