| Pride Comprehensive Primary Care LLC | |
|
7 Warren Rd Wolcott CT 06716-3015 | |
| (414) 614-5832 | |
| Not Available |
| Full Name | Pride Comprehensive Primary Care LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7 Warren Rd, Wolcott, Connecticut |
| Authorized Official Name and Position | Jurg W. J. Oggenfuss (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 4146145832 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pride Comprehensive Primary Care LLC 7 Warren Rd Wolcott CT 06716-3015 Ph: (414) 614-5832 | Pride Comprehensive Primary Care LLC 7 Warren Rd Wolcott CT 06716-3015 Ph: (414) 614-5832 |
| NPI Number | 1699307751 |
|---|---|
| Provider Enumeration Date | 02/06/2020 |
| Last Update Date | 02/06/2020 |
| Certification Date | 02/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699307751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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