Individual
DAVID JAMES PEREGRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3923
(203) 384-3713
Mailing address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3923
(203) 384-3713
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3125
CT
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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