| Prima Primary Care And Wellness Llc | |
|
501 Kings Hwy E Ste 106 Fairfield CT 06825-4871 | |
| (203) 819-1203 | |
| Not Available |
| Full Name | Prima Primary Care And Wellness Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 501 Kings Hwy E Ste 106, Fairfield, Connecticut |
| Authorized Official Name and Position | Marleena A Dimaggio (OWNER) |
| Authorized Official Contact | 2038191203 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prima Primary Care And Wellness Llc 501 Kings Hwy E Ste 106 Fairfield CT 06825-4871 Ph: (203) 819-1203 | Prima Primary Care And Wellness Llc 501 Kings Hwy E Ste 106 Fairfield CT 06825-4871 Ph: (203) 819-1203 |
| NPI Number | 1962278440 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 3678923711 |
|---|---|
| Medicare Enrollment ID | O20240102001603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962278440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Marleena Dimaggio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194727172 PECOS PAC ID: 9638124415 Enrollment ID: I20050315000123 |
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