| Primary Care Services | |
|
495 Congress Ave New Haven CT 06519-1312 | |
| (203) 781-4600 | |
| (203) 781-4624 |
| Full Name | Primary Care Services |
|---|---|
| Speciality | Clinic/center |
| Location | 495 Congress Ave, New Haven, Connecticut |
| Authorized Official Name and Position | Lynn M Madden (PRESIDENT/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2037814600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Services 1 Long Wharf Dr Ste 321 New Haven CT 06511-5991 Ph: (203) 781-4600 | Primary Care Services 495 Congress Ave New Haven CT 06519-1312 Ph: (203) 781-4600 |
| NPI Number | 1487062873 |
|---|---|
| Provider Enumeration Date | 07/29/2014 |
| Last Update Date | 01/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487062873 | NPI | - | NPPES |
| 008066801 | Other | CT | HAQUE MEDICAID |
| 008003745 | Other | CT | MEDICAID EMILY APRN |
| 008058058 | Other | CT | SADINSKY MEDICAID |
| 001218107 | Other | CT | SCHOTTENFELD MEDICAID |
| 001302497 | Other | CT | MEDICAID SHI |
| 001423136 | Other | CT | MEDICAID TETRAULT |
| 008068420 | Other | CT | SCHEFILITI MEDICAID |
| 008066293 | Other | CT | MARDAM BEY MEDICAID |
| 008066315 | Other | CT | COLON RIVERA MEDICAID |
| 008066948 | Other | CT | LOUIE MEDICAID |
| 008053091 | Other | CT | MEDICAID BUTNER |
| 008069118 | Other | CT | CAMPBELL MEDICAID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0366 (Connecticut) | Primary |
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