Individual
MR. CHRISTOPHER RYAN NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4292
(203) 576-6000
Mailing address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(475) 210-7436
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3214
CT
363AM0700X
Medical Physician Assistant
Primary
3214
CT
363AS0400X
Surgical Physician Assistant
3214
CT
Other
Enumeration date
10/08/2014
Last updated
10/12/2020
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