Organization
PRIMARY CARE OF SHELTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARDIA ASGARI MD (CEO)
(203) 225-0506
Entity
Organization
Contact information
Practice address
555 BRIDGEPORT AVE, SHELTON, CT 06484-4749
(203) 225-0506
Mailing address
555 BRIDGEPORT AVE, SHELTON, CT 06484-4749
(203) 225-0506
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
038488
CT
Other
Enumeration date
02/11/2007
Last updated
09/15/2008
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