| Wellnite Medical Group Pa | |
|
1019 Main St Bridgeport CT 06604-4221 | |
| (341) 888-7637 | |
| Not Available |
| Full Name | Wellnite Medical Group Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1019 Main St, Bridgeport, Connecticut |
| Authorized Official Name and Position | Amy Halanski (PRESIDENT) |
| Authorized Official Contact | 3418887638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellnite Medical Group Pa 2261 Market St # 4058 San Francisco CA 94114-1612 Ph: (341) 888-6337 | Wellnite Medical Group Pa 1019 Main St Bridgeport CT 06604-4221 Ph: (341) 888-7637 |
| NPI Number | 1558085548 |
|---|---|
| Provider Enumeration Date | 10/03/2022 |
| Last Update Date | 10/03/2022 |
| Certification Date | 10/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558085548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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