| NPI Details | |
|---|---|
| NPI | 1346338779 |
| Gender | Male |
| Enumeration Date | 10/11/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 1057 BROAD ST BRIDGEPORT CT, 06604, US |
|
| Phone | (203) 336-3661 |
| Fax | (203) 336-6525 |
| Business Location | |
|---|---|
| 1057 BROAD ST BRIDGEPORT CT, 06604, US |
|
| Phone | (203) 336-3661 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 1041C0700X |
| License State | Connecticut |
| License Number | 001862 |
| Remove 1346338779 NPI Number | |
According to our database, Mr. Jose A Olmo LCSW LICENSED CLINIC NPI is 1346338779, taxonomy code is 1041C0700X and license number is 001862, license state is located at Connecticut. Jose A Olmo LCSW LICENSED CLINIC physically located at 1057 Broad St, Bridgeport CT, 06604. NPI Number Jose A Olmo LCSW LICENSED CLINIC has the Individual type.
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1346338779 NPI number is provided on an as is basis without warranty of any kind. 1346338779 is maintained by the National Plan & Provider Enumeration System. The contents of Jose A Olmo LCSW LICENSED CLINIC are for informational purposes only.
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