Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mwl-Wallingford

Organization Family Medicine Physician · NPI 1346858867

Mwl-Wallingford is a Family Medicine Physician in Wallingford, Connecticut. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1243 S Broad St
Wallingford, CT 06492-1737
Phone: (203) 446-4555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1346858867
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pranav Shah — Ownere · (203) 446-4555
NPI enumeratedJuly 21, 2020
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022
Mailing address1243 S Broad St, Wallingford, CT 06492-1737

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