Organization
PRIME HEALTHCARE LTC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE PAULEKAS MD (MD/OWNER)
(860) 263-0263
Entity
Organization
Contact information
Practice address
30 JORDAN LN, WETHERSFIELD, CT 06109-1278
(860) 263-0263
(860) 263-0267
Mailing address
30 JORDAN LN, WETHERSFIELD, CT 06109-1278
(860) 263-0263
(860) 263-0267
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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