Part Avenue Medical Associates, LLC
NPI #1205171626 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1205171626
- Entity Type
- Organization
- Organization Name
- Part Avenue Medical Associates, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 11, 2012
- Last Updated
- Dec 11, 2012
Practice Location
- Address
- 80 HOOKER RD
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06610-1316
- Phone
- (203) 345-3095
Authorized Official
- Name
- MRS. MARIE CAROLLE JOSEPH, NP
- Title
- FAMILY NURSE PRACTITIONER
- Phone
- (203) 345-3095
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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