Organization
PRIMED, LLC
Active
Organization
PRIMED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS BERTINI MD (PRESIDENT, PRIMED, LLC)
(203) 944-1940
Entity
Organization
Contact information
Practice address
501 KINGS HWY E, SUITE 204, FAIRFIELD, CT 06825-4867
(203) 610-6300
(203) 610-6347
Mailing address
3 ENTERPRISE DR, SUITE 404, SHELTON, CT 06484-4694
(203) 944-1940
(203) 402-4196
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02041
MEDICARE GROUP #
CT
Enumeration date
10/12/2007
Last updated
10/12/2007
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