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Organization

CITY OF BRIDGEPORT

Active
Parent organization
CITY OF BRIDGEPORT DEPARTMENT OF HEALTH
Other names
Bridgeport Health Department
Organization subpart
Yes

Provider details

NPI number
Legal business name
CITY OF BRIDGEPORT DEPARTMENT OF HEALTH
Authorized official
DR. MANISHA GUPTA M.D. (INTERNAL MEDICINE)
(203) 576-7448
Entity
Organization

Contact information

Practice address
99 MIDDLE ST, BRIDGEPORT, CT 06604-4410
(203) 576-7448
Mailing address
99 MIDDLE ST, BRIDGEPORT, CT 06604-4410
(203) 576-7448

Taxonomy

Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
0033
CT

Other

Enumeration date
08/09/2012
Last updated
09/01/2023
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