Organization
PART AVENUE MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE CAROLLE JOSEPH NP (FAMILY NURSE PRACTITIONER)
(203) 345-3095
Entity
Organization
Contact information
Practice address
80 HOOKER RD, BRIDGEPORT, CT 06610-1316
(203) 345-3095
Mailing address
80 HOOKER RD, BRIDGEPORT, CT 06610-1316
(203) 345-3095
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
005094
CT
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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