Organization
OPTIMUS HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUDWIG SPINELLI (CHIEF EXECUTIVE OFFICER)
(203) 696-3260
Entity
Organization
Contact information
Practice address
471 BARNUM AVE, BRIDGEPORT, CT 06608-2409
(203) 576-3885
(203) 332-0376
Mailing address
471 BARNUM AVE, BRIDGEPORT, CT 06608-2409
(203) 576-3885
(203) 332-0376
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
00073
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235926
—
CT
01
—
C00383
MEDICARE PART B
CT
Enumeration date
11/24/2006
Last updated
08/29/2012
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