New Era Rehabilitation Center, Inc in Bridgeport - Methadone
New Era Rehabilitation Center, Inc - NPI 1255372108
New Era Rehabilitation Center, Inc is a Methadone in Bridgeport, Connecticut. New Era Rehabilitation Center, Inc practices all healthcare services and medical treatments related to Methadone. The NPI Number for New Era Rehabilitation Center, Inc is 1255372108. The last update date is 2021-05-12.
New Era Rehabilitation Center, Inc's current location address is 4675 Main Street, Bridgeport, Connecticut. You can contact this provider via phone number 2033440025 and fax number 2033747515. The mailing address for New Era Rehabilitation Center, Inc is 4675 Main Street, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Organization | New Era Rehabilitation Center, Inc |
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Address | 4675 Main Street, Bridgeport, Connecticut |
Phone Number | 2033440025 |
Fax Number | 2033747515 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Kolade Adekunle Ebenezer |
Credentials | MD |
Telephone Number | 2035622101 |
NPI Number Detail
NPI Number | 1255372108 |
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Provider Enumeration Date | 2006-06-10 |
Last Updated Date | 2021-05-12 |
Provider Mailing Address Detail
Address | 4675 Main Street |
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City | Bridgeport |
State | Connecticut (CT) |
Post Code | 66062864 |
Phone Number | 2033440025 |
Fax Number | 2033747515 |
Provider's Primary Taxonomy Detail
Speciality | Methadone |
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Taxonomy | 261Qm2800X |
Licence No | 266 |
Definition: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
4224507 | CT | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to New Era Rehabilitation Center, Inc?
The New Era Rehabilitation Center, Inc has been issued the NPI (National Provider Identifier) 1255372108 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the New Era Rehabilitation Center, Inc's physical address?
The New Era Rehabilitation Center, Inc is physically located at 4675 Main Street, in the city of Bridgeport, CT, with the postal code 66062864.
What is New Era Rehabilitation Center, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for New Era Rehabilitation Center, Inc is Methadone, and the taxonomy classification code that categorizes this area of expertise is 261Qm2800X.
On what date did the New Era Rehabilitation Center, Inc receive the assignment of its 1255372108 from the Centers for Medicare & Medicaid Services?
The New Era Rehabilitation Center, Inc was issued its 1255372108 by the Centers for Medicare & Medicaid Services on 2006-06-10.
When was the New Era Rehabilitation Center, Inc's information last updated?
The New Era Rehabilitation Center, Inc's information was last updated on 2021-05-12.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA