Individual
LAURIE S BRIDGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
374 GRAND AVE, FAIR HAVEN COMMUNITY HEALTH CENTER, NEW HAVEN, CT 06513
(203) 777-7411
(203) 777-8506
Mailing address
47 MARVEL ROAD, NEW HAVEN, CT 06515
(203) 387-6705
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
031428
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235736
—
CT
01
—
010031428CT01
ANTHEM BCBS
—
01
—
0314289734
CONNECTICARE
—
01
—
1051526
AETNA US HEALTH
—
01
—
2356526
CIGNA
—
01
—
P473784
OXFORD
—
Enumeration date
09/11/2006
Last updated
07/08/2007
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