| Value Based Long Term Care a PC | |
|
5 Research Dr Ste 2 Shelton CT 06484-6288 | |
| (203) 567-5243 | |
| Not Available |
| Full Name | Value Based Long Term Care a PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 5 Research Dr Ste 2, Shelton, Connecticut |
| Authorized Official Name and Position | David Chess (OWNER) |
| Authorized Official Contact | 2034905869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Value Based Long Term Care a PC 5 Research Dr Ste 2 Shelton CT 06484-6288 Ph: (203) 567-5243 | Value Based Long Term Care a PC 5 Research Dr Ste 2 Shelton CT 06484-6288 Ph: (203) 567-5243 |
| NPI Number | 1922771633 |
|---|---|
| Provider Enumeration Date | 07/28/2021 |
| Last Update Date | 07/28/2021 |
| Certification Date | 07/28/2021 |
| Medicare PECOS PAC ID | 4183027089 |
|---|---|
| Medicare Enrollment ID | O20210729003622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922771633 | 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 |
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