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Organization

CITY OF BRIDGEPORT HEALTH DEPT. SCHOOL BASED HEALTH CENTER

Active
Other names
Roosevelt Elementary School Based Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MIRIAN EVANS (DIRECTOR OF HEALTH)
(203) 576-7680
Entity
Organization

Contact information

Practice address
680 PARK AVE, BRIDGEPORT, CT 06604-4610
(203) 576-8090
Mailing address
752 E MAIN ST, BRIDGEPORT, CT 06608-2335
(203) 576-8090

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
03/28/2007
Last updated
08/22/2020
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