Organization
PREMISE HEALTH OF CONNECTICUT MEDICAL, P.C.
Active
Other names
Boehringer Ingelheim Occupational Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON LEIZMAN MD (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
900 RIDGEBURY RD, RIDGEFIELD, CT 06877-1058
(203) 798-5605
(203) 837-5105
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
08/15/2022
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