| NPI | 1609545326 |
|---|---|
| Doing Business As | REVIVE MD DIRECT PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | PAYAL JHAWAR Founder And CEO 860-519-2376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2021-09-07 |