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Organization

NSL CENTER FOR PRIMARY CARE LLC

Active
Other names
NSL Centre for Primary Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRANDON PERVIS SR. APRN (NURSE PRACTITIONER)
(203) 628-2394
Entity
Organization

Contact information

Practice address
83 WOOSTER HTS STE 125, DANBURY, CT 06810-7550
(203) 957-3938
Mailing address
33 DIXWELL AVE STE 278, NEW HAVEN, CT 06511-3403
(203) 957-3938

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center
Primary
5748
CT
261QP2300X
Primary Care Clinic/Center
5748
CT
261QP3300X
Pain Clinic/Center
5748
CT

Other

Enumeration date
05/10/2017
Last updated
11/04/2021
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