Healthcare Provider Details

I. General information

NPI: 1003248543
Provider Name (Legal Business Name): ASAP MEDICAL ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2013
Last Update Date: 08/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 CHERRY ST
MILFORD CT
06460-3501
US

IV. Provider business mailing address

500 W PUTNAM AVE STE 400
GREENWICH CT
06830-6086
US

V. Phone/Fax

Practice location:
  • Phone: 203-877-2273
  • Fax:
Mailing address:
  • Phone: 908-635-4775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LARRY EARL
Title or Position: OWNER/CEO/MD
Credential: MD
Phone: 203-877-2273