| New Wave Medical Group Pa | |
|
25 Stevens Street East Haven CT 06512-4744 | |
| (844) 327-2199 | |
| (844) 337-7304 |
| Full Name | New Wave Medical Group Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 25 Stevens Street, East Haven, Connecticut |
| Authorized Official Name and Position | Dalia Elizalde (MANAGER) |
| Authorized Official Contact | 8443272199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Wave Medical Group Pa 25 Stevens Street East Haven CT 06512-4744 Ph: (844) 327-2199 | New Wave Medical Group Pa 25 Stevens Street East Haven CT 06512-4744 Ph: (844) 327-2199 |
| NPI Number | 1639816614 |
|---|---|
| Provider Enumeration Date | 05/19/2022 |
| Last Update Date | 05/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639816614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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