PREMISE HEALTH OF CONNECTICUT MEDICAL P.C. NPI 1396293338

NPI Information

PREMISE HEALTH OF CONNECTICUT MEDICAL, P.C. is a multi-specialty clinic center in Norfolk, VA. PREMISE HEALTH OF CONNECTICUT MEDICAL, P.C. NPI is 1396293338. The provider is registered as an organization entity type.
The provider Is Doing Business As Associate Medical Clinic.

The provider's business location address is:

5800 NORTHAMPTON BLVD
NORFOLK, VA
ZIP 23502-513
Phone: (757) 955-8875

The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The enumeration date for this NPI number is 9/20/2016 and was last updated on 8/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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