Organization
IMMEDIATE HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GIANNINA MARIA MESA (MANAGER)
(203) 847-2600
Entity
Organization
Contact information
Practice address
235 MAIN AVENUE, NORWALK, CT 06851
(203) 847-2600
(203) 849-3081
Mailing address
235 MAIN AVENUE, NORWALK, CT 06851
(203) 847-2600
(203) 849-3081
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
001286
CT
207P00000X
Emergency Medicine Physician
021922
CT
207Q00000X
Family Medicine Physician
015532
CT
207Q00000X
Family Medicine Physician
Primary
021922
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2V5977
HEALTHNET
—
01
—
68WLKN026CT
ANTHEM BCBS
CT
01
—
7242622
AETNA
—
01
—
789859
CONNECTICARE
—
01
—
CO3240
MEDICARE
—
Enumeration date
10/18/2006
Last updated
05/27/2008
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