Connecticut Medical Specialists PC
Clinic/Center in Bridgeport, CT. Organization (NPI-2).
NPI number1225702947
StatusActive
Last updated in NPPESAug 30, 2021
Details
- NPI
- 1225702947
- Entity type
- Organization (NPI-2)
- Legal business name
- Connecticut Medical Specialists PC
- Organization subpart
- No
- Enumeration date
- Aug 5, 2021
- Certification date
- Aug 30, 2021
- Last updated
- Aug 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
1000 Lafayette BlvdSuite 1100
Bridgeport, CT 06604
Phone 800-557-8950
Mailing address
133 Rollins Ave Ste 3Rockville, MD 20852-4040
Authorized official
Hirenkumar Italia
MD
8005578950
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