MEDICARE: SOUND MEDICAL ASSOCIATES, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	363LF0000X	Family Nurse Practitioner
3	364SA2100X	Acute Care Clinical Nurse Specialist
4	207P00000X	Emergency Medicine Physician
5	208200000X	Plastic Surgery Physician
6	207RC0000X	Cardiovascular Disease Physician
7	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629021860
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUND MEDICAL ASSOCIATES, PC

Provider Business Mailing Address
First Line	:	2 LORENZ INDUSTRIAL PARKWAY
Second Line	:
City	:	LEDYARD
State	:	CT
Zip	:	06339-1946
Country	:	US
Telephone Number	:	860-464-3045
Fax Number	:	860-464-3044

Provider Business Practice Location Address
First Line	:	2 LORENZ INDUSTRIAL PARKWAY
Second Line	:
City	:	LEDYARD
State	:	CT
Zip	:	06339-1946
Country	:	US
Telephone Number	:	860-464-3045
Fax Number	:	860-464-3044

Authorized Official
Title or Position	:	CEO
Name	:	DR. DANIEL RISSI
Credential	:	MD
Telephone Number	:	860-442-0711

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	04/29/2010

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Directions to “SOUND MEDICAL ASSOCIATES, PC ” Practice Location

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