CT Preventive Health Edge Medical PC
General Practice in Stamford, Connecticut
1972394773- Practice location
- 9 W Broad St Ste 320, Stamford, CT 06902-3758
- Phone
- 917-310-5621
- Fax
- —
- Last updated
- May 16, 2025
CT Preventive Health Edge Medical PC is a healthcare organization based in Stamford, CT. CT Preventive Health Edge Medical PC practices in Stamford, CT. The NPI Number for CT Preventive Health Edge Medical PC is 1972394773. The current practice location address for CT Preventive Health Edge Medical PC is 9 W Broad St Ste 320, Stamford, CT 06902-3758 and can be reached out via phone at 917-310-5621.
Provider Profile Details
- NPI Number
- 1972394773
- Provider Name
- CT Preventive Health Edge Medical PC
- Provider Entity Type
- Organization
- Address
- 9 W Broad St Ste 320, Stamford, CT 06902-3758
- Phone Number
- 917-310-5621
- Primary Taxonomy
- General Practice · 208D00000X
- Organization Subpart
- No
- Authorized Official
- Sven Karlsson · Coo · 917-310-5621
- Provider Enumeration Date
- May 13, 2025
- Last Update Date
- May 16, 2025
- Certification Date
- May 16, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9 W Broad St Ste 320
Stamford, CT 06902-3758 - City
- Stamford
- State
- Connecticut
- Zip
- 06902-3758
- Phone Number
- 917-310-5621
Provider Business Mailing Address Details
- Address
- 9 W Broad St Ste 320
Stamford, CT 06902-3758 - City
- Stamford
- State
- CT
- Zip
- 06902-3758
License Information
- Taxonomy (1)
- Registered Nurse, General Practice · 163WG0000X
- Taxonomy (2)
- Internal Medicine · 207R00000X
- Taxonomy (3)
- Nurse Practitioner, Primary Care · 363LP2300X
- Taxonomy (4)
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of CT Preventive Health Edge Medical PC?
The NPI number of CT Preventive Health Edge Medical PC is 1972394773. It was assigned on May 13, 2025 and is currently active in the NPPES registry.
What is the specialty of CT Preventive Health Edge Medical PC?
CT Preventive Health Edge Medical PC is registered under the primary taxonomy General Practice (code 208D00000X).
Where does CT Preventive Health Edge Medical PC practice?
The practice location is 9 W Broad St Ste 320, Stamford, CT 06902-3758. The office can be reached at 917-310-5621 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972394773 directly on the NPPES registry website.