Pride Comprehensive Primary Care LLC
NPI #1699307751 in Wolcott, Connecticut
Provider Information
- NPI Number
- 1699307751
- Entity Type
- Organization
- Organization Name
- Pride Comprehensive Primary Care LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Feb 6, 2020
- Last Updated
- Feb 6, 2020
Practice Location
- Address
- 7 WARREN RD
- City
- Wolcott
- State
- Connecticut
- ZIP Code
- 06716-3015
- Phone
- (414) 614-5832
Authorized Official
- Name
- MR. JURG W. J. OGGENFUSS, APRN, FNP-BC, ANP-BC
- Title
- CHIEF MEDICAL OFFICER
- Phone
- (414) 614-5832
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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