Organization
PARADIGM MEDICAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH TAN KAMLANI APRN (NURSE PRACTITIONER)
(203) 763-9452
Entity
Organization
Contact information
Practice address
400 MILL PLAIN RD, FAIRFIELD, CT 06824-5048
(203) 763-9452
Mailing address
575 WINNEPOGE DR, FAIRFIELD, CT 06825-2562
(203) 763-9452
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
003040
CT
363LA2200X
Adult Health Nurse Practitioner
01334712
NJ
Other
Enumeration date
06/01/2008
Last updated
07/16/2014
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