Medical Wellness Llc | |
503 Wolcott Rd #3 Wolcott CT 06716-2673 | |
(203) 948-1300 | |
(888) 372-6480 |
Full Name | Medical Wellness Llc |
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Speciality | Clinic/center - Primary Care |
Location | 503 Wolcott Rd, Wolcott, Connecticut |
Authorized Official Name and Position | Steven Paul Jeske (OWNER) |
Authorized Official Contact | 2039481300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Medical Wellness Llc 503 Wolcott Rd #3 Wolcott CT 06716-2673 Ph: (203) 948-1300 | Medical Wellness Llc 503 Wolcott Rd #3 Wolcott CT 06716-2673 Ph: (203) 948-1300 |
NPI Number | 1386023828 |
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Provider Enumeration Date | 05/28/2015 |
Last Update Date | 05/28/2015 |
Identifier | Type | State | Issuer |
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1386023828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 12.004592 (Connecticut) | Primary |
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