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 |
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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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