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1699467431 NPI number — WELLPORT MEDICINE INC

NPI Number: 1699467431
Health Care Provider/Practitioner: WELLPORT MEDICINE INC

Information about “1699467431” NPI (WELLPORT MEDICINE INC) exists in 1699467431 in HTML format HTML  |  1699467431 in plain Text format TXT  |  1699467431 in PDF (Portable Document Format) PDF  |  1699467431 in an XML format XML  formats.

NPI Number : 1699467431 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699467431",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WELLPORT MEDICINE INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2515 MAIN STREET",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BRIDGEPORT",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06606",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-296-9297",
    "MailingAddressFaxNumber": "203-296-9298",
    "FirstLinePracticeLocationAddress": "2515 MAIN STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRIDGEPORT",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06606",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-296-9297",
    "PracticeLocationAddressFaxNumber": "203-296-9298",
    "EnumerationDate": "05/22/2023",
    "LastUpdateDate": "05/22/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "USMAN",
    "AuthorizedOfficialFirstName": "HAFIZ",
    "AuthorizedOfficialMiddleName": "MUHAMMAD",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "646-637-2148",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "333600000X",
        "TaxonomyName": "Pharmacy",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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