| Value In Prevention Of Connecticut Pllc | |
|
11 Main St Mystic CT 06355-3654 | |
| (561) 982-4300 | |
| Not Available |
| Full Name | Value In Prevention Of Connecticut Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11 Main St, Mystic, Connecticut |
| Authorized Official Name and Position | Andrea Klemes (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 5619824300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Value In Prevention Of Connecticut Pllc 4950 Communication Ave Boca Raton FL 33431-3307 Ph: (561) 982-4300 | Value In Prevention Of Connecticut Pllc 11 Main St Mystic CT 06355-3654 Ph: (561) 982-4300 |
| NPI Number | 1487495313 |
|---|---|
| Provider Enumeration Date | 06/04/2024 |
| Last Update Date | 06/04/2024 |
| Medicare PECOS PAC ID | 9335680362 |
|---|---|
| Medicare Enrollment ID | O20240918001693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487495313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | John J Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376540005 PECOS PAC ID: 6204939382 Enrollment ID: I20070309000340 |
| Provider Name | David S Salm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184727273 PECOS PAC ID: 5890835888 Enrollment ID: I20091223000365 |
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