Ct Preventive Health Edge Medical PC

NPI #1972394773 in Stamford, Connecticut

Provider Information

NPI Number: 1972394773
Entity Type: Organization
Organization Name: Ct Preventive Health Edge Medical PC
Primary Specialty: General Practice
Enumeration Date: May 13, 2025
Last Updated: May 16, 2025

Practice Location

Address: 9 W BROAD ST STE 320
City: Stamford
State: Connecticut
ZIP Code: 06902-3758
Phone: (917) 310-5621

Authorized Official

Name: SVEN KARLSSON
Title: COO
Phone: (917) 310-5621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse - General Practice — General Practice	163WG0000X
Internal Medicine	207R00000X
Nurse Practitioner - Primary Care — Primary Care	363LP2300X
General Practice	208D00000X	Primary

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