Individual
DR. KEVIN J SPRAGUE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 MAIN ST, EMERGENCY DEPARTMENT, BRIDGEPORT, CT 06606-4201
(203) 576-5604
Mailing address
2800 MAIN ST, EMERGENCY DEPT, BRIDGEPORT, CT 06606-4201
(203) 576-5604
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
051906
CT
Other
Enumeration date
08/24/2010
Last updated
09/30/2015
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