| Princeton Longevity Medical Group Of Connecticut Llc | |
|
2 Corporate Dr Shelton CT 06484-6238 | |
| (888) 800-0752 | |
| Not Available |
| Full Name | Princeton Longevity Medical Group Of Connecticut Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Corporate Dr, Shelton, Connecticut |
| Authorized Official Name and Position | David Fein (PRESIDENT) |
| Authorized Official Contact | 6094300752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Princeton Longevity Medical Group Of Connecticut Llc 2 Corporate Dr Shelton CT 06484-6238 Ph: (999) 900-0752 | Princeton Longevity Medical Group Of Connecticut Llc 2 Corporate Dr Shelton CT 06484-6238 Ph: (888) 800-0752 |
| NPI Number | 1740572338 |
|---|---|
| Provider Enumeration Date | 05/14/2011 |
| Last Update Date | 05/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740572338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 49410 (Connecticut) | Primary |
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