NPI Code Details Logo

NPI 1336931724

NPI 1336931724 : PRIMECARE HEALTH SERVICES, PC : WEST HARTFORD, CT

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1336931724
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PRIMECARE HEALTH SERVICES, PC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/21/2025
-----------------------------------------------------
    Last Update Date     |    05/21/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    151 WASHINGTON CIRCLE 
-----------------------------------------------------
    City                 |    WEST HARTFORD
-----------------------------------------------------
    State                |    CT
-----------------------------------------------------
    Zip                  |    06119
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    860-600-0013
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    759 FARMINGTON AVE APT 341
-----------------------------------------------------
    City                 |    WEST HARTFORD
-----------------------------------------------------
    State                |    CT
-----------------------------------------------------
    Zip                  |    06119
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    860-600-0013
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |    DR. HONGFENG  ZHANG 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    860-600-0013
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.