| Bryan C Shelby Mdjd Llc | |
|
215 Main St Westport CT 06880-3210 | |
| (203) 221-0090 | |
| (844) 530-1500 |
| Full Name | Bryan C Shelby Mdjd Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 215 Main St, Westport, Connecticut |
| Authorized Official Name and Position | Bryan Christian Shelby (MEMBER) |
| Authorized Official Contact | 2032210090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan C Shelby Mdjd Llc 215 Main St Westport CT 06880-3210 Ph: (203) 221-0090 | Bryan C Shelby Mdjd Llc 215 Main St Westport CT 06880-3210 Ph: (203) 221-0090 |
| NPI Number | 1689381584 |
|---|---|
| Provider Enumeration Date | 10/31/2022 |
| Last Update Date | 10/31/2022 |
| Certification Date | 10/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689381584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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