Salerno Wellness Center, Llc | |
2 Trap Falls Road Suite 503 Shelton CT 06484-4690 | |
(475) 269-2138 | |
Not Available |
Full Name | Salerno Wellness Center, Llc |
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Speciality | Family Medicine |
Location | 2 Trap Falls Road, Shelton, Connecticut |
Authorized Official Name and Position | John Paul Salerno (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 2125821700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Salerno Wellness Center, Llc 2 Trap Falls Road Suite 503 Shelton CT 06484-4690 Ph: (475) 269-2138 | Salerno Wellness Center, Llc 2 Trap Falls Road Suite 503 Shelton CT 06484-4690 Ph: (475) 269-2138 |
NPI Number | 1306623798 |
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Provider Enumeration Date | 09/11/2023 |
Last Update Date | 02/01/2024 |
Medicare PECOS PAC ID | 9436500519 |
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Medicare Enrollment ID | O20240112003640 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306623798 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | John Salerno |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285746669 PECOS PAC ID: 9133119936 Enrollment ID: I20230515002006 |
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