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Organization
ST. VINCENTS URGENT CARE LLC
Active
Organization
ST. VINCENTS URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LLATOYA GAYLE (CREDENTIALING SPECIALIST)
(475) 210-5346
Entity
Organization
Contact information
Practice address
401 MONROE TPKE, MONROE, CT 06468-2276
(203) 268-2501
Mailing address
2720 MAIN ST, BRIDGEPORT, CT 06606-5363
(475) 210-5346
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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