Organization
HEART WELLNESS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KUNAL DOMAKONDA MD (OWNER)
(917) 582-8774
Entity
Organization
Contact information
Practice address
2 BROADWAY, NORTH HAVEN, CT 06473-2349
(203) 714-4441
Mailing address
6 OLD GATE RD, WALLINGFORD, CT 06492-3327
(917) 582-8774
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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