Organization
WEST HAVEN MEDICAL GROUP, LLC
Active
Parent organization
WEST HAVEN MEDICAL GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST HAVEN MEDICAL GROUP, LLC
Authorized official
DR. BENEDICT L FERNANDO M.D. (MANAGING PARTNER)
(203) 932-6481
Entity
Organization
Contact information
Practice address
687 CAMPBELL AVE, WEST HAVEN, CT 06516-3774
(203) 932-6481
(203) 932-4051
Mailing address
687 CAMPBELL AVE, WEST HAVEN, CT 06516-3774
(203) 932-6481
(203) 932-4051
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004250833
—
CT
Enumeration date
10/10/2008
Last updated
10/10/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us