1225265028 NPI number — DR. JENNIFER WERELY M.D.

Table of content: DR. JENNIFER WERELY M.D. (NPI 1225265028)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225265028 NPI number — DR. JENNIFER WERELY M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WERELY
Provider First Name:
JENNIFER
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
COSTELLO
Provider Other First Name:
JENNIFER
Provider Other Middle Name:
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1225265028
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/28/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
49 LAKE AVE LOWR LEVEL3
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENWICH
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06830-4501
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-900-4226
Provider Business Mailing Address Fax Number:
888-869-7354

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
49 LAKE AVE LOWR LEVEL3
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENWICH
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06830-4501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-900-4226
Provider Business Practice Location Address Fax Number:
888-869-7354
Provider Enumeration Date:
06/18/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084N0400X , with the licence number:  052000 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)