| Prestige Medical Concierge Pllc | |
|
25 Stevens Street East Haven CT 06512 | |
| (475) 837-8701 | |
| Not Available |
| Full Name | Prestige Medical Concierge Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 25 Stevens Street, East Haven, Connecticut |
| Authorized Official Name and Position | Osama Kandalaft (OWNER) |
| Authorized Official Contact | 4758378701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Medical Concierge Pllc 25 Stevens Street East Haven CT 06512 Ph: (475) 837-8701 | Prestige Medical Concierge Pllc 25 Stevens Street East Haven CT 06512 Ph: (475) 837-8701 |
| NPI Number | 1720747504 |
|---|---|
| Provider Enumeration Date | 12/09/2021 |
| Last Update Date | 12/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720747504 | NPI | - | NPPES |
| 063900 | Other | CT | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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