Premise Health of Connecticut Medical, P.c.
NPI #1801491246 in Ridgefield, Connecticut
Provider Information
- NPI Number
- 1801491246
- Entity Type
- Organization
- Organization Name
- Premise Health of Connecticut Medical, P.c.
- Primary Specialty
- Clinic/Center - Occupational Medicine
- Enumeration Date
- Dec 3, 2020
- Last Updated
- Aug 15, 2022
Practice Location
- Address
- 900 RIDGEBURY RD
- City
- Ridgefield
- State
- Connecticut
- ZIP Code
- 06877-1058
- Phone
- (203) 798-5605
Authorized Official
- Name
- DR. JON LEIZMAN, MD
- Title
- PRESIDENT
- Phone
- (216) 479-9063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Occupational Medicine — Occupational Medicine |
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