Mjs Med Llc | |
1243 S Broad St Wallingford CT 06492-1737 | |
(203) 446-4555 | |
Not Available |
Full Name | Mjs Med Llc |
---|---|
Speciality | Family Medicine |
Location | 1243 S Broad St, Wallingford, Connecticut |
Authorized Official Name and Position | Mike Krasser (OWNER) |
Authorized Official Contact | 2034464555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mjs Med Llc 1243 S Broad St Wallingford CT 06492-1737 Ph: (203) 446-4555 | Mjs Med Llc 1243 S Broad St Wallingford CT 06492-1737 Ph: (203) 446-4555 |
NPI Number | 1790214518 |
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Provider Enumeration Date | 06/06/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790214518 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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