Organization
NEW WAVE MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALIA ELIZALDE (MANAGER)
(844) 327-2199
Entity
Organization
Contact information
Practice address
25 STEVENS STREET, EAST HAVEN, CT 06512-4744
(844) 327-2199
(844) 337-7304
Mailing address
25 STEVENS STREET, EAST HAVEN, CT 06512-4744
(844) 327-2199
(844) 337-7304
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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