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Contact Information

PRIMED LLC
4699 MAIN ST
SUITE 105 ATTN: MED3000
BRIDGEPORT, CT06606-1830
 Phone: 203-944-1940
 Fax: 203-402-4196
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Podiatrist

213E00000X 48 Podiatry
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PRIMED LLC · (Female)

NPI Number 1023055530
Status Active
Credentials
Entity Individual
Enumeration date 06/01/2006
Last updated 03/27/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 000462
  • CT License # 025538
  • CT Other 470000038 MEDICARE FCSC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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