Organization
ST. VINCENTS URGENT CARE LLC
Active
Parent organization
ST VINCENT'S MULTISPECIALTY GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST VINCENT'S MULTISPECIALTY GROUP
Authorized official
MS. LLATOYA GAYLE (CREDENTIALING COORDINATOR)
(475) 210-5346
Entity
Organization
Contact information
Practice address
900 WHITE PLAINS RD, TRUMBULL, CT 06611-5727
(203) 696-3500
Mailing address
2720 MAIN ST, BRIDGEPORT, CT 06606-5363
(475) 210-5346
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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