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Contact Information

HEART WELLNESS GROUP, LLC
2 BROADWAY
NORTH HAVEN, CT06473-2349
 Phone: 203-714-4441
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for HEART WELLNESS GROUP, LLC

NPI # 1861120974
LBN Legal business name HEART WELLNESS GROUP, LLC
Authorized official KUNAL DOMAKONDA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/09/2022
Last updated 08/09/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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