Organization · Type 2 NPI

City of Bridgeport

State or Local Public Health Clinic/Center · Bridgeport, CT

NPI number 1730436783 Active

Practice location

99 Middle St
Bridgeport, CT 06604-4410

Specialties and licenses

Taxonomy	Code	License
State or Local Public Health Clinic/Center Primary	261QP0905X	0033 (CT)

State or Local Public Health Clinic/Center: Definition to come...

NPI record

NPI: 1730436783
Entity type: Organization (Type 2)
Issued: Aug 9, 2012
Last updated: Sep 1, 2023
Status: Active
Subpart: Yes of City of Bridgeport Department of Health

Other names

<unavail>
Bridgeport Health Department · doing business as

Authorized official

Dr. Manisha Gupta, MD
Internal Medicine
(203) 576-7448

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1730436783

City of Bridgeport's National Provider Identifier is 1730436783, issued on Aug 9, 2012. The primary taxonomy on file is State or Local Public Health Clinic/Center (261QP0905X), and the practice location is in Bridgeport, CT. The record was last updated on Sep 1, 2023.