# BRIDGEPORT HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871807446
- **Authorized official:** DR. CONSTANTINE MANTHOUS M.D. (PROGRAM DIRECTOR - INTERNAL MEDICIN)
- **Authorized official phone:** (203) 384-3792

## Contact information

- **Practice address:** 267 GRANT ST, BRIDGEPORT, CT 06610-2805
- **Practice address phone:** (203) 384-3792
- **Mailing address:** 100 STONE RIDGE WAY APT 1D, FAIRFIELD, CT 06824-5392
- **Mailing address phone:** (917) 225-4744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | CT | Yes |

## Other

- **Enumeration date:** 08/05/2010
- **Last updated:** 08/05/2010