| Prime Care Medical Group P.c. | |
|
2457 E Main St Ste 1e Waterbury CT 06705-2684 | |
| (203) 753-8477 | |
| Not Available |
| Full Name | Prime Care Medical Group P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2457 E Main St Ste 1e, Waterbury, Connecticut |
| Authorized Official Name and Position | Vidyapriya Loganathan (MD) |
| Authorized Official Contact | 2037538477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Care Medical Group P.c. 2457 E Main St Ste 1e Waterbury CT 06705-2684 Ph: (203) 753-8477 | Prime Care Medical Group P.c. 2457 E Main St Ste 1e Waterbury CT 06705-2684 Ph: (203) 753-8477 |
| NPI Number | 1407933286 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407933286 | NPI | - | NPPES |
| CG3286 | Other | CT | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Connecticut) | Primary |
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