Organization
BRIDGEPORT HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANTINE MANTHOUS M.D. (PROGRAM DIRECTOR - INTERNAL MEDICIN)
(203) 384-3792
Entity
Organization
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3792
Mailing address
100 STONE RIDGE WAY APT 1D, FAIRFIELD, CT 06824-5392
(917) 225-4744
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
CT
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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