| The Wellness Center Operated By Premise Health | |
|
1210 South Ave Bridgeport CT 06604-5243 | |
| (203) 224-2073 | |
| Not Available |
| Full Name | The Wellness Center Operated By Premise Health |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1210 South Ave, Bridgeport, Connecticut |
| Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wellness Center Operated By Premise Health 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | The Wellness Center Operated By Premise Health 1210 South Ave Bridgeport CT 06604-5243 Ph: (203) 224-2073 |
| NPI Number | 1942956842 |
|---|---|
| Provider Enumeration Date | 03/01/2022 |
| Last Update Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942956842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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