Organization
PRIMECARE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRUDANCE VELL (OFFICE ADMINISTRATOR)
(203) 327-1908
Entity
Organization
Contact information
Practice address
555 NEWFIELD AVE, STAMFORD, CT 06905-3330
(203) 327-1908
(203) 327-5803
Mailing address
316 COURTLAND AVE, 2ND FLOOR, STAMFORD, CT 06906-2269
(203) 348-3142
(203) 348-3445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
01/22/2008
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