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Organization

PRIMARY CARE PHYSICIANS OF STRATFORD, LLC

Active
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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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