Organization · Type 2 NPI
City of Bridgeport Health Dept. School Based Health Center
Health Service Clinic/Center · Bridgeport, CT
NPI number
1114046273
Active
Practice location
130 Ezra St
Bridgeport, CT 06606-5061
Mailing address
752 E Main St
Bridgeport, CT 06608-2335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1114046273
City of Bridgeport Health Dept. School Based Health Center's National Provider Identifier is 1114046273, issued on Mar 28, 2007. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Bridgeport, CT. The record was last updated on Aug 22, 2020.