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Organization
ST. VINCENTS URGENT CARE LLC
Active
Organization
ST. VINCENTS URGENT CARE LLC
Active
Parent organization
ST.VINCENTS MULTISPECIALTY GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST.VINCENTS MULTISPECIALTY GROUP
Authorized official
MR. CHRISTOPHER WILLEY (EXECUTIVE DIRECTOR)
(203) 576-5076
Entity
Organization
Contact information
Practice address
1055 POST RD, FAIRFIELD, CT 06824-6019
(203) 259-3440
(203) 254-3889
Mailing address
2720 MAIN ST STE 1, BRIDGEPORT, CT 06606-5363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/15/2014
Last updated
03/01/2019
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