| Wallingford Medical Associates Llc | |
|
850 N Main Street Ext Unit 1d2 Wallingford CT 06492-2400 | |
| (860) 798-2614 | |
| (860) 467-4612 |
| Full Name | Wallingford Medical Associates Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 850 N Main Street Ext Unit 1d2, Wallingford, Connecticut |
| Authorized Official Name and Position | Juanita H Dee (OWNER) |
| Authorized Official Contact | 8607982614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wallingford Medical Associates Llc 150 Episcopal Rd Berlin CT 06037-1525 Ph: (860) 798-2614 | Wallingford Medical Associates Llc 850 N Main Street Ext Unit 1d2 Wallingford CT 06492-2400 Ph: (860) 798-2614 |
| NPI Number | 1639822125 |
|---|---|
| Provider Enumeration Date | 02/03/2022 |
| Last Update Date | 02/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639822125 | NPI | - | NPPES |
| 1669889820 | Medicaid | CT | |
| 1609344480 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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