Organization · Type 2 NPI

New Wave Medical Group PA

Clinic/Center · East Haven, CT

NPI number 1639816614 Active

Practice location

25 Stevens Street
East Haven, CT 06512-4744

Fax (844) 337-7304

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1639816614

New Wave Medical Group PA's National Provider Identifier is 1639816614, issued on May 19, 2022. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in East Haven, CT. The record was last updated on May 19, 2022.