Medical Specialty Group, P.c.

NPI 1114923893 - Radiology - 2085R0202X

NPI Details
NPI 1114923893
Enumeration Date 06/27/2005
Last Updated 10/01/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JUDITH MARIE JUDITH
Position CREDENTIALING COORDINATOR
Phone (203) 683-4500
Fax (203) 926-1410
Practice Location
917 BRIDGEPORT AVE
SHELTON CT, 06484-4679, US
Phone (203) 683-4500
Fax (203) 926-1410
Business Location
PO BOX 6128
BRIDGEPORT CT, 06606-0128, US
Phone (203) 683-4500
Fax (203) 926-1410
Toxanomy
Taxonomy Code 2085R0202X
License State Connecticut
License Number 016805
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According to our database, Medical Specialty Group, P.c. NPI is 1114923893, taxonomy code is 2085R0202X and license number is 016805, license state is located at Connecticut. Medical Specialty Group, P.c. physically located at 917 Bridgeport Ave, Shelton CT, 06484-4679. NPI Number 1033115704 has the healthcare provider type.

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1114923893 NPI number is provided on an as is basis without warranty of any kind. 1114923893 is maintained by the National Plan & Provider Enumeration System. The contents of Medical Specialty Group, P.c. are for informational purposes only.