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Organization
PART AVENUE MEDICAL ASSOCIATES, LLC
Active
Organization
PART AVENUE MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE CAROLLE JOSEPH NP (FAMILY NURSE PRACTITIONER)
(203) 345-3095
Entity
Organization
Contact information
Practice address
80 HOOKER RD, BRIDGEPORT, CT 06610-1316
(203) 345-3095
Mailing address
80 HOOKER RD, BRIDGEPORT, CT 06610-1316
(203) 345-3095
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
005094
CT
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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