Organization
PRI- CARE EXPRESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WASSERMAN MD (MEDICAL DIRECTOR)
(203) 239-2727
Entity
Organization
Contact information
Practice address
79 WASHINGTON AVE, NORTH HAVEN, CT 06473
(203) 239-2727
(203) 643-2081
Mailing address
79 WASHINGTON AVE, NORTH HAVEN, CT 06473-1704
(203) 239-2727
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
36223
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487680625
NPI
CT
Enumeration date
05/13/2015
Last updated
05/13/2015
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