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Organization

ST. VINCENTS URGENT CARE LLC

Active
Parent organization
ST. VINCENTS URGENT CARE LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST. VINCENTS URGENT CARE LLC
Authorized official
LLATOYA GAYLE (CREDENTIALING SPECIALIST)
(475) 210-5346
Entity
Organization

Contact information

Practice address
15 ARMSTRONG RD, SHELTON, CT 06484-4706
(203) 929-1109
Mailing address
2720 MAIN ST STE 1, BRIDGEPORT, CT 06606-5363
(475) 210-5346

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
207X00000X
Orthopaedic Surgery Physician
208000000X
Pediatrics Physician
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
06/27/2019
Last updated
06/27/2019
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