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Organization
SEVI HEALTH CT CLOVER, PC
Active
Organization
SEVI HEALTH CT CLOVER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PIYUSH GUPTA MD (OWNER)
(203) 685-1653
Entity
Organization
Contact information
Practice address
764 CAMPBELL AVE STE E, WEST HAVEN, CT 06516-3786
(203) 685-1653
Mailing address
470 JAMES ST STE 7, NEW HAVEN, CT 06513-3175
(203) 685-1653
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
NULL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
NULL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
04/11/2022
Last updated
03/07/2023
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