| Azure Haven Care PC | |
|
5 Research Dr Shelton CT 06484-6232 | |
| (203) 901-2493 | |
| Not Available |
| Full Name | Azure Haven Care PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 5 Research Dr, Shelton, Connecticut |
| Authorized Official Name and Position | Manoj Wadhwani (OWNER) |
| Authorized Official Contact | 2039012493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Azure Haven Care PC 5 Research Dr Shelton CT 06484-6232 Ph: (203) 901-2493 | Azure Haven Care PC 5 Research Dr Shelton CT 06484-6232 Ph: (203) 901-2493 |
| NPI Number | 1841083888 |
|---|---|
| Provider Enumeration Date | 05/23/2025 |
| Last Update Date | 05/23/2025 |
| Certification Date | 05/23/2025 |
| Medicare PECOS PAC ID | 7214443209 |
|---|---|
| Medicare Enrollment ID | O20250717002709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841083888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Primary |
| Provider Name | David Penry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306849922 PECOS PAC ID: 0648223255 Enrollment ID: I20050224000013 |
Sage Hollow Health PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5 Research Dr, Shelton, CT 06484 Phone: 203-901-2493 Fax: 866-497-2991 |
Value Based Long Term Care LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Research Dr Ste 2, Shelton, CT 06484 Phone: 781-343-1475 |
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Whitman Senior Health PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Research Dr Ste 2, Shelton, CT 06484 Phone: 203-901-2493 Fax: 866-497-2991 |
Lincoln Senior Health PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Research Dr Ste 2, Shelton, CT 06484 Phone: 203-901-2493 Fax: 866-497-2991 |
Washington Senior Health PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Research Dr Ste 2, Shelton, CT 06484 Phone: 203-901-2493 Fax: 866-497-2991 |