Prestige Medical Concierge Pllc

LBN: Prestige Medical Concierge Pllc
Prestige Medical Concierge Pllc is an health care organization with primary practice located at 25 Stevens Street , East Haven CT 06512. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Prestige Medical Concierge Pllc can be contacted via phone (475) 837-8701, or through Kandalaft, Osama via phone (475) 837-8701.

Contact Information

Primary practice address
25 Stevens Street East Haven CT 06512
Phone: (475) 837-8701
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kandalaft, Osama Doctor of Medicine (MD)
Phone: (475) 837-8701

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1720747504
LBN Legal business name Prestige Medical Concierge Pllc
DBA Doing business as
Authorized official Kandalaft, Osama Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2021
Last updated Dec 9th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720747504 NPPES
Connecticut Other 063900 STATE LICENSE

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