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NPI Code Detail

MEDICARE: INHOUSE MEDICAL LLC

MEDICARE: INHOUSE MEDICAL LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianCT
2261QP2300XPrimary Care Clinic/CenterCT
3363L00000XNurse PractitionerCT

General Provider Information

NPI Number : 1528561800
Entity Type Code : Organization
Provider Name (Legal Business Name) : INHOUSE MEDICAL LLC
Provider Business Mailing Address
First Line : 276 HIGHLAND AVE STE A2
Second Line :
City : WATERBURY
State : CT
Zip : 06708-3022
Country : US
Telephone Number : 203-518-5232
Fax Number : 888-372-6480
Provider Business Practice Location Address
First Line : 276 HIGHLAND AVE STE A2
Second Line :
City : WATERBURY
State : CT
Zip : 06708-3022
Country : US
Telephone Number : 203-518-5232
Fax Number : 888-372-6480
Authorized Official
Title or Position : OWNER
Name : MR. STEVEN PAUL JESKE
Credential : APRN
Telephone Number : 203-518-5232
Provider Enumeration Date : 03/13/2018
Last Update Date : 01/14/2024

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Directions to “INHOUSE MEDICAL LLC ” Practice Location

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