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Organization
PROACTIVE HEALTH CARE MANAGEMENT,LLC
Active
Organization
PROACTIVE HEALTH CARE MANAGEMENT,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANI GRAY APRN (OWNER)
(203) 895-4360
Entity
Organization
Contact information
Practice address
46 SOUNDVIEW AVE, MILFORD, CT 06460-7877
(203) 895-4360
Mailing address
46 SOUNDVIEW AVE, MILFORD, CT 06460-7877
(203) 895-4360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
NULL
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
02/06/2022
Last updated
07/10/2026
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