Primed Llc | |
4699 Main St Suite 105 Attn: Med3000 Bridgeport CT 06606-1830 | |
(203) 944-1940 | |
(203) 402-4196 |
Full Name | Primed Llc |
---|---|
Speciality | Internal Medicine |
Location | 4699 Main St, Bridgeport, Connecticut |
Authorized Official Name and Position | Amit Rastogi (PRESIDENT, PRIMED LLC) |
Authorized Official Contact | 2039441940 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Primed Llc 3 Enterprise Dr Suite 404 Shelton CT 06484-4694 Ph: (203) 944-1940 | Primed Llc 4699 Main St Suite 105 Attn: Med3000 Bridgeport CT 06606-1830 Ph: (203) 944-1940 |
NPI Number | 1023055530 |
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Provider Enumeration Date | 06/01/2006 |
Last Update Date | 03/27/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023055530 | NPI | - | NPPES |
470000038 | Other | CT | MEDICARE FCSC |
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