| MW Wellness Viii, LLC | |
|
155 Hazard Ave Ste 2 Enfield CT 06082 | |
| (813) 228-6763 | |
| Not Available |
| Full Name | MW Wellness Viii, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 155 Hazard Ave Ste 2, Enfield, Connecticut |
| Authorized Official Name and Position | Jodi Despoy (MANAGER) |
| Authorized Official Contact | 8132286334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| MW Wellness Viii, LLC 155 Hazard Ave Ste 2 Enfield CT 06082-4586 Ph: (813) 228-6763 | MW Wellness Viii, LLC 155 Hazard Ave Ste 2 Enfield CT 06082 Ph: (813) 228-6763 |
| NPI Number | 1639695935 |
|---|---|
| Provider Enumeration Date | 08/17/2017 |
| Last Update Date | 06/26/2023 |
| Certification Date | 06/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639695935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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