Organization
PRIMARY CARE PHYSICIANS OF STRATFORD, LLC
Active
Parent organization
ST.VINCENTS MULTISPECIALTY GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST.VINCENTS MULTISPECIALTY GROUP
Authorized official
CHRISTOPHER L WILLEY (EXECUTIVE DIRECTOR)
(203) 576-5076
Entity
Organization
Contact information
Practice address
2890 MAIN ST, SUITE 2A, STRATFORD, CT 06614-4980
(203) 378-3696
Mailing address
2660 MAIN ST, SUITE 216, BRIDGEPORT, CT 06606-5369
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
11/04/2015
Last updated
08/17/2016
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