# HEALTHWISE MEDICAL ASSOCIATES, LLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891749933
- **Authorized official:** RENEE IRVIN (CEO)
- **Authorized official phone:** (860) 872-2289

## Contact information

- **Practice address:** 29 NAEK RD, SUITE 5, VERNON, CT 06066-3942
- **Practice address phone:** (860) 872-2289
- **Practice address fax:** (860) 896-1425
- **Mailing address:** PO BOX 3249, VERNON, CT 06066-2149
- **Mailing address phone:** (860) 896-1422
- **Mailing address fax:** (860) 896-1425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 363LP0200X | Pediatric Nurse Practitioner | 000765 | CT | — |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 05/15/2014