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Organization

NORTH END MEDICAL GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WAYNE S LEVIN M.D. (MANAGER)
(203) 579-9000
Entity
Organization

Contact information

Practice address
3690 MAIN ST, BRIDGEPORT, CT 06606-3610
(203) 579-9000
(203) 374-6132
Mailing address
3690 MAIN ST, BRIDGEPORT, CT 06606-3610
(203) 579-9000
(203) 374-6132

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
050053
CT
207R00000X
Internal Medicine Physician
Primary
020625
CT
207R00000X
Internal Medicine Physician
047525
CT

Other

Enumeration date
08/26/2013
Last updated
08/26/2013
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