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Wallingford Medical Associates Llc
Primary Care Clinic/Center in Wallingford, Connecticut
NPI 1639822125

Wallingford Medical Associates Llc is a Primary Care Clinic/Center based in Berlin, CT and is specialized in Primary Care. Wallingford Medical Associates Llc practices in Wallingford, CT. The NPI Number for Wallingford Medical Associates Llc is 1639822125 and holds a License No. (Connecticut).

The current practice location address for Wallingford Medical Associates Llc is 850 N Main Street Ext Unit 1D2, Wallingford, CT and can be reached out via phone at 860-798-2614 and via fax at 860-467-4612.

Location: 850 N Main Street Ext Unit 1D2, Wallingford, CT, 06037-1525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639822125
Provider Name
Wallingford Medical Associates Llc
Credential
Provider Entity Type
Organization
Address
850 N Main Street Ext Unit 1D2, Wallingford, CT, 06037-1525
Phone Number
860-798-2614
Fax Number
860-467-4612
Provider Enumeration Date
02/03/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1669889820 05 CT
1609344480 05 CT
institution
Provider Business Practice Location Address Details
Address
850 N Main Street Ext Unit 1D2
City
Wallingford
State
Connecticut
Zip
06492-2400
Phone Number
860-798-2614
Fax Number
860-467-4612
person
Provider Business Mailing Address Details
Address
850 N Main Street Ext Unit 1D2
City
Wallingford
State
Connecticut
Zip
06492-2400
Phone Number
860-798-2614
Fax Number
860-467-4612
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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