| Puranik Family Medical Center Llc | |
|
546 S Broad St Unit 2e Meriden CT 06450-6600 | |
| (203) 237-1054 | |
| (203) 237-9913 |
| Full Name | Puranik Family Medical Center Llc |
|---|---|
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 546 S Broad St, Meriden, Connecticut |
| Authorized Official Name and Position | Ujwala P Puranik (MEMBERLLC) |
| Authorized Official Contact | 2032371054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Puranik Family Medical Center Llc 546 S Broad St Ste 2e Unit 2e Meriden CT 06450-6601 Ph: (203) 237-1054 | Puranik Family Medical Center Llc 546 S Broad St Unit 2e Meriden CT 06450-6600 Ph: (203) 237-1054 |
| NPI Number | 1487862801 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487862801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 2080A0000X | Pediatrics - Adolescent Medicine | (* (Not Available)) | Primary |
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