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Organization

SEVI HEALTH CT CLOVER, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PIYUSH GUPTA MD (OWNER)
(203) 685-1653
Entity
Organization

Contact information

Practice address
764 CAMPBELL AVE STE E, WEST HAVEN, CT 06516-3786
(203) 685-1653
Mailing address
470 JAMES ST STE 7, NEW HAVEN, CT 06513-3175
(203) 685-1653

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
261QP2300X
Primary Care Clinic/Center

Other

Enumeration date
04/11/2022
Last updated
03/07/2023
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