Jeremy David Wells, MD
Psychiatry & Neurology, Neurology in Bridgeport, CT. Individual provider (NPI-1).
NPI number1982167342
StatusActive
Last updated in NPPESJul 8, 2024
Details
- NPI
- 1982167342
- Entity type
- Individual (NPI-1)
- Name
- Jeremy David Wells
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2019
- Certification date
- Jul 8, 2024
- Last updated
- Jul 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 77735 | CT | Yes |
Practice location
2800 Main StBridgeport, CT 06606-4201
Phone 203-576-6000
Mailing address
170 Manning Dr # 7025Chapel Hill, NC 27514-4221
Other practice locations
2660 Main St
Bridgeport, CT 06606-5369
Bridgeport, CT 06606-5369
Phone 203-332-3272
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