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Individual

SAMUEL LEON BRIDGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2080 WHITNEY AVE, SUITE 280, HAMDEN, CT 06518-3600
(203) 248-6200
(203) 248-5479
Mailing address
2080 WHITNEY AVE, SUITE 280, HAMDEN, CT 06518-3600
(203) 248-6200
(203) 248-5479

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
23624
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010023624CT05
ANTHEM
CT
01
682259
CTCARE
CO
01
NHS254
OXFORD HEALTHPLAN
CT
01
OV8177
HEALTHNET
CT
Enumeration date
08/19/2005
Last updated
10/04/2011
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