CONNECTICUT PRIMARY CARE AND WELLNESS PC NPI 1407378946

NPI Information

NPI: 1407378946
Provider Name: CONNECTICUT PRIMARY CARE AND WELLNESS PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
530 MIDDLEBURY RD STE 103A
MIDDLEBURY, CT
ZIP 06762
Phone: (203) 527-6953
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CONNECTICUT PRIMARY CARE AND WELLNESS PC is a primary care clinic center in Middlebury, CT. CONNECTICUT PRIMARY CARE AND WELLNESS PC NPI is 1407378946. The provider is registered as an organization entity type.

The provider's business location address is:

530 MIDDLEBURY RD STE 103A
MIDDLEBURY, CT
ZIP 06762-547
Phone: (203) 527-6953
Fax: (203) 528-4331

The provider's authorized official is Ines Zemaitis .
The authorized official title is Np/ceo and has the following contact phone number (203) 768-6770.

The enumeration date for this NPI number is 7/15/2017 and was last updated on 5/16/2019.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	008075293	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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