Part Avenue Medical Associates, Llc

NPI 1205171626 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1205171626
Enumeration Date 12/11/2012
Last Updated 12/11/2012
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MARIE CAROLLE MARIE
Position FAMILY NURSE PRACTITIONER
Phone (203) 345-3095
Fax
Practice Location
80 HOOKER RD
BRIDGEPORT CT, 06610-1316, US
Phone (203) 345-3095
Fax
Business Location
80 HOOKER RD
BRIDGEPORT CT, 06610-1316, US
Phone (203) 345-3095
Fax
Toxanomy
Taxonomy Code 314000000X
License State Connecticut
License Number 005094
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According to our database, Part Avenue Medical Associates, Llc NPI is 1205171626, taxonomy code is 314000000X and license number is 005094, license state is located at Connecticut. Part Avenue Medical Associates, Llc physically located at 80 Hooker Rd, Bridgeport CT, 06610-1316. NPI Number 1033115704 has the healthcare provider type.

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1205171626 NPI number is provided on an as is basis without warranty of any kind. 1205171626 is maintained by the National Plan & Provider Enumeration System. The contents of Part Avenue Medical Associates, Llc are for informational purposes only.