Imaeda, Avlin Barlow

Imaeda, Avlin Barlow is an individual health care provider with primary practice located at 950 Campbell Ave Va Ct Healthcare, West Haven CT 06516-2770. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Imaeda, Avlin Barlow can be contacted via phone (203) 932-5711.

Contact Information

Primary practice address
950 Campbell Ave Va Ct Healthcare West Haven CT 06516-2770
Phone: (203) 932-5711
Fax: (203) 937-3873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 041499 Connecticut
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 041499 Connecticut

Profile Details

NPI number 1851375612
LBN Legal business name Imaeda, Avlin Barlow
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Apr 25th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851375612 NPPES
Connecticut MEDICAID 001414995

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