Organization
WELLPORT MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAFIZ MUHAMMAD USMAN (OWNER)
(646) 637-2148
Entity
Organization
Contact information
Practice address
2515 MAIN STREET, BRIDGEPORT, CT 06606
(203) 296-9297
(203) 296-9298
Mailing address
2515 MAIN STREET, BRIDGEPORT, CT 06606
(203) 296-9297
(203) 296-9298
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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