Individual
DR. CHARLES BRUCE-TAGOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3272 MAIN ST, STRATFORD, CT 06614-4819
(203) 386-0366
(203) 380-1495
Mailing address
2660 MAIN ST STE 216, BRIDGEPORT, CT 06606-5301
(203) 386-0366
(203) 380-1495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47946
CT
Other
Enumeration date
04/25/2008
Last updated
10/10/2017
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