Organization
MOBILE CV IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SYBIL GAUTHIER MALKIN (MANAGER)
(203) 331-7597
Entity
Organization
Contact information
Practice address
136 GROVERS AVE, BRIDGEPORT, CT 06605-3536
(203) 767-3332
(203) 612-8391
Mailing address
136 GROVERS AVE, BRIDGEPORT, CT 06605-3536
(203) 767-3332
(203) 612-8391
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
033357
CT
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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