Individual
MR. GREGORY HOWARD EMMENS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3293
Mailing address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3293
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2947
CT
Other
Enumeration date
06/02/2006
Last updated
09/08/2014
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