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Contact Information

CONNECTICUT PAIN & WELLNESS CENTER LLC
52 BEACH RD
SUITE 204
FAIRFIELD, CT06824
 Phone: 203-319-9355
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for CONNECTICUT PAIN WELLNESS CENTER LLC · (Female)

NPI Number 1518915826
Status Active
Credentials
Entity Individual
Enumeration date 05/05/2006
Last updated 07/30/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 044014
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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