NPI 1700320629

Wheeler Clinic

Organisation Case Management Agency New Haven, CT

Practice location

Address: 458 Grand Ave, New Haven, CT 06513-3856
Phone: (203) 752-1212
Mailing address: 115 Wood Ave Fl 3, Bridgeport, CT 06605-1046

Authorised official

Name: Wanda Ivette Lopez
Title: Case Manager IV
Phone: (860) 793-7241

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1700320629
Entity type: Organization
NPI issued: 12 Dec 2016
Record last updated: 12 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.