Organization · Type 2 NPI

Premise Health of Connecticut Medical PC

Multi-Specialty Clinic/Center · Norfolk, VA

NPI number 1396293338 Active

Practice location

5800 Northampton Blvd
Norfolk, VA 23502-5513

Mailing address

5500 Maryland Way Ste 200
Brentwood, TN 37027-4973

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

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About NPI 1396293338

Premise Health of Connecticut Medical PC's National Provider Identifier is 1396293338, issued on Sep 20, 2016. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Norfolk, VA. The record was last updated on Mar 3, 2026.