Organization · Type 2 NPI

NP Primary Care Practice, PLLC

Primary Care Clinic/Center · Bridgeport, CT

NPI number 1205409463 Active

Practice location

2091 Fairfield Avenue, Suite #1
Bridgeport, CT 06605-2246

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1205409463

NP Primary Care Practice, PLLC's National Provider Identifier is 1205409463, issued on Jul 23, 2021. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Bridgeport, CT. The record was last updated on Jul 23, 2021.