Organization
PRINCETON LONGEVITY MEDICAL GROUP OF CONNECTICUT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FEIN MD (PRESIDENT)
(609) 430-0752
Entity
Organization
Contact information
Practice address
2 CORPORATE DR, SHELTON, CT 06484-6238
(888) 800-0752
Mailing address
2 CORPORATE DR, SHELTON, CT 06484-6238
(999) 900-0752
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49410
CT
Other
Enumeration date
05/14/2011
Last updated
05/14/2011
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