| Premise Health Of Connecticut Medical, P.c. | |
|
6900 Main St Stratford CT 06614-1378 | |
| (203) 386-6488 | |
| Not Available |
| Full Name | Premise Health Of Connecticut Medical, P.c. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 6900 Main St, Stratford, Connecticut |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Connecticut Medical, P.c. 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Connecticut Medical, P.c. 6900 Main St Stratford CT 06614-1378 Ph: (203) 386-6488 |
| NPI Number | 1437805348 |
|---|---|
| Provider Enumeration Date | 03/01/2022 |
| Last Update Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437805348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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