Organization
PRIDE COMPREHENSIVE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JURG W. J. OGGENFUSS APRN, FNP-BC, ANP-BC (CHIEF MEDICAL OFFICER)
(414) 614-5832
Entity
Organization
Contact information
Practice address
7 WARREN RD, WOLCOTT, CT 06716-3015
(414) 614-5832
Mailing address
7 WARREN RD, WOLCOTT, CT 06716-3015
(414) 614-5832
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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