Premise Health of Connecticut Medical, P.c.
NPI #1538561832 in Stamford, Connecticut
Provider Information
- NPI Number
- 1538561832
- Entity Type
- Organization
- Organization Name
- Premise Health of Connecticut Medical, P.c.
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Sep 18, 2014
- Last Updated
- Aug 15, 2022
Practice Location
- Address
- 201 TRESSER BLVD BLDG LOBBY
- City
- Stamford
- State
- Connecticut
- ZIP Code
- 06901-3432
- Phone
- (203) 588-8275
Authorized Official
- Name
- JON LEIZMAN, M.D.
- Title
- PRESIDENT
- Phone
- (216) 479-9063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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