Wellness Primary Care Pllc | |
291 S Lambert Rd Ste 5 Orange CT 06477-3559 | |
(203) 674-9433 | |
Not Available |
Full Name | Wellness Primary Care Pllc |
---|---|
Speciality | Clinic/Center |
Location | 291 S Lambert Rd Ste 5, Orange, Connecticut |
Authorized Official Name and Position | Vivian Huynh (OWNER/PRACTITIONER) |
Authorized Official Contact | 2036749433 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Wellness Primary Care Pllc 291 S Lambert Rd Ste 5 Orange CT 06477-3559 Ph: (203) 674-9433 | Wellness Primary Care Pllc 291 S Lambert Rd Ste 5 Orange CT 06477-3559 Ph: (203) 674-9433 |
NPI Number | 1982179784 |
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Provider Enumeration Date | 10/08/2018 |
Last Update Date | 10/08/2018 |
Medicare PECOS PAC ID | 1759620792 |
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Medicare Enrollment ID | O20190308001230 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982179784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Vivian Huynh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265836373 PECOS PAC ID: 0345566295 Enrollment ID: I20150311002406 |
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