Bridgeport Anesthesia Associates, P.c.

NPI #1174549257 in Bridgeport, Connecticut

Provider Information

NPI Number: 1174549257
Entity Type: Organization
Organization Name: Bridgeport Anesthesia Associates, P.c.
Primary Specialty: Anesthesiology
Enumeration Date: Jul 14, 2006
Last Updated: Oct 27, 2009

Practice Location

Address: 267 GRANT ST
City: Bridgeport
State: Connecticut
ZIP Code: 06610-2805
Phone: (203) 384-3072

Authorized Official

Name: MR. KENNETH STONE
Title: AUTHORIZED AGENT
Phone: (203) 384-3072

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiology	207L00000X	Primary

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