George C Roush MD

NPI 1003827098 - Internal Medicine - 207R00000X

NPI Details
NPI 1003827098
Gender Male
Enumeration Date 08/11/2006
Last Updated 10/19/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
2800 MAIN ST
ST. VINCENT'S FAMILY HEALTH CENTER
BRIDGEPORT CT, 06606-4201, US
Phone (203) 576-5131
Fax
Business Location
762 LINDLEY ST
BRIDGEPORT CT, 06606-5046, US
Phone (203) 576-5131
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Connecticut
License Number 018206
Remove 1003827098 NPI Number
 

According to our database, George C Roush MD NPI is 1003827098, taxonomy code is 207R00000X and license number is 018206, license state is located at Connecticut. George C Roush MD physically located at 2800 Main St, Bridgeport CT, 06606-4201. NPI Number George C Roush MD has the Individual type.

Sponsored links

1003827098 NPI number is provided on an as is basis without warranty of any kind. 1003827098 is maintained by the National Plan & Provider Enumeration System. The contents of George C Roush MD are for informational purposes only.