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Organization · Family Medicine Physician · Bridgeport, CT
- NPI
- 1023471299
- Type
- Organization (Type 2)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- Enumerated
- 2016-04-04
- Last updated
- 2025-01-30
Practice location
4200 Main Street
Bridgeport, CT 06606
(203) 916-5151