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Organization

BRIDGEPORT HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDWARD LUCHANSKY MD (MEDICAL SUPERVISOR)
(203) 384-3232
Entity
Organization

Contact information

Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3232
Mailing address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3232

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
001917
CT

Other

Enumeration date
04/02/2008
Last updated
04/02/2008
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