Organization · Type 2 NPI

Premise Health of Connecticut Medical, P.c.

Occupational Medicine Clinic/Center · Ridgefield, CT

NPI number 1801491246 Active

Practice location

900 Ridgebury Rd
Ridgefield, CT 06877-1058

Call (203) 798-5605 Map

Fax (203) 837-5105

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

Taxonomy	Code	License
Occupational Medicine Clinic/Center Primary	261QX0100X	None listed

Occupational Medicine Clinic/Center: Definition to come...

4 other providers at this address

Other occupational medicine clinic/center providers in Ridgefield

Ridgefield Sensory Clinic LLCOccupational Medicine Clinic/Center Ridgefield, CT NPI 1073004024

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NPI record

NPI: 1801491246
Entity type: Organization (Type 2)
Issued: Dec 3, 2020
Last updated: Aug 15, 2022
Status: Active

Other names

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Boehringer Ingelheim Occupational Health Clinic · doing business as
Boehringer Ingelheim Occupational Health Clinic · doing business as

Authorized official

Dr. Jon Leizman, MD
President
(216) 479-9063

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1801491246

Premise Health of Connecticut Medical, P.c.'s National Provider Identifier is 1801491246, issued on Dec 3, 2020. The primary taxonomy on file is Occupational Medicine Clinic/Center (261QX0100X), and the practice location is in Ridgefield, CT. The record was last updated on Aug 15, 2022.