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Individual

JOSHUA GEORGETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
20 YORK ST, NEW HAVEN, CT 06510-3202
(203) 688-4242
Mailing address
267 GRANT ST, BRIDGEPORT, CT 06610-2805

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
86136
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
15260
CT

Other

Enumeration date
05/01/2025
Last updated
08/21/2025
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