St. Vincent's Multispecialty Group

NPI #1376931311 in Stratford, Connecticut

Provider Information

NPI Number: 1376931311
Entity Type: Organization
Organization Name: St. Vincent's Multispecialty Group
Subpart: Yes (part of a larger organization)
Parent Organization: ST.VINCENT'S MULTISPECIALTY GROUP, INC
Primary Specialty: Podiatrist
Enumeration Date: Dec 29, 2014
Last Updated: Jan 6, 2015

Practice Location

Address: 1825 BARNUM AVE
City: Stratford
State: Connecticut
ZIP Code: 06614-5333
Phone: (203) 377-1777

Authorized Official

Name: JOHN GLECKLER
Title: CFO
Phone: (203) 576-5412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Podiatrist	213E00000X	Primary

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Organizations

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