Organization
PAIN CENTER OF CT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANIELA CONVERTITO APRN, DNP (OWNER, MEDICAL DIRECTOR)
(203) 513-8230
Entity
Organization
Contact information
Practice address
4 RESEARCH DRIVE, SUITE 402, SHELTON, CT 06484
(475) 269-5555
Mailing address
494 BRIDGEPORT AVE, UNIT 101, SHELTON, CT 06484
(475) 269-5555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
03/03/2023
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