NPI 1821284407 · live from the CMS NPI Registry
Aspire Family Medicine &Wellness Center, LLC
Family Medicine in Wallingford, CT. National Provider Identifier 1821284407, active.
NPI record
| NPI | 1821284407 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 850 N Main Street Ext, Bldg 2 Suite C2, Wallingford, CT 06492 |
| Practice phone | 203-269-9778 |
| Enumerated | September 18, 2007 |
| Last updated | September 18, 2007 |
| Authorized official | Michael Clark, Physician/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.