Organization
PREMISE HEALTH OF CONNECTICUT MEDICAL, P.C.
Active
Other names
BAE Systems Hudson NH
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON LEIZMAN MD (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
65 RIVER RD, HUDSON, NH 03051-5244
(603) 885-7180
(603) 885-5998
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
08/15/2022
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