Organization
ST. VINCENT'S MULTISPECIALTY GROUP
Active
Parent organization
ST.VINCENT'S MULTISPECIALTY GROUP, INC
Other names
St.Vincent's Podiatry Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST.VINCENT'S MULTISPECIALTY GROUP, INC
Authorized official
JOHN GLECKLER (CFO)
(203) 576-5412
Entity
Organization
Contact information
Practice address
1825 BARNUM AVE, STRATFORD, CT 06614-5333
(203) 377-1777
Mailing address
2660 MAIN ST, SUITE 216, BRIDGEPORT, CT 06606-5369
(203) 576-5346
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
12/29/2014
Last updated
01/06/2015
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