OrganizationActive
Premise Health of Connecticut Medical, P.C.
NPI 1942956842 · Multi-Specialty Clinic/Center · Bridgeport, CT
Provider details
- NPI number
- 1942956842
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jonathan Leizman, President(216) 479-9063
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1210 South Ave
Bridgeport, CT 06604-5243
Phone: (203) 224-2073
Approximate (ZIP-level) locationGet directions
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Other names (DBA / former)
- Doing business as
- The Wellness Center Operated By Premise Health
- Doing business as
- The Wellness Center Operated By Premise Health
Registry dates
- Enumerated
- 2022-03-01
- Last updated
- 2022-08-15
- Certified
- 2022-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.