| Vitanutrient Iv Llc | |
|
2 Trap Falls Rd Ste 503 Shelton CT 06484-4690 | |
| (475) 269-2138 | |
| (475) 269-2138 |
| Full Name | Vitanutrient Iv Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2 Trap Falls Rd Ste 503, Shelton, Connecticut |
| Authorized Official Name and Position | John Paul Salerno (PHYSICIAM/OWNER) |
| Authorized Official Contact | 5166807777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitanutrient Iv Llc 2 Trap Falls Rd Ste 503 Shelton CT 06484-4690 Ph: (475) 269-2138 | Vitanutrient Iv Llc 2 Trap Falls Rd Ste 503 Shelton CT 06484-4690 Ph: (475) 269-2138 |
| NPI Number | 1699578336 |
|---|---|
| Provider Enumeration Date | 03/28/2025 |
| Last Update Date | 05/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699578336 | NPI | - | NPPES |
| 175754 | Other | NY | NY LICENSE |
| 353 | Other | CT | CT LICENSE |
| OS8416 | Other | FL | FL LICENSE |
| 25MB11370100 | Other | NJ | NJ LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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