Organization
APT FOUNDATION INC.
Active
Other names
Primary Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN M MADDEN MPA (PRESIDENT/CHIEF EXECUTIVE OFFICER)
(230) 781-4600
Entity
Organization
Contact information
Practice address
184 FRONT AVE, WEST HAVEN, CT 06516-2836
(203) 781-4600
(203) 781-4624
Mailing address
1 LONG WHARF DR, SUITE 321, NEW HAVEN, CT 06511-5991
(203) 781-4600
(203) 781-4624
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0797
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001340132
SAVAGE MEDICAID
CT
01
—
008038037
EGGERT MEDICAID
CT
05
—
008068298
—
CT
01
—
008068420
SCHEFILITI MEDICAID
CT
Enumeration date
09/20/2016
Last updated
01/13/2017
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