Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Public Health, State or Local |
261QP0905X |
| NPI Number | 1730436783 |
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| LBN Legal business name | CITY OF BRIDGEPORT | ||||
| Authorized official | MANISHA GUPTA - (INTERNAL MEDICINE) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 08/09/2012 | ||||
| Last updated | 09/01/2023 - About 3 years ago | ||||
| Identifiers |
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CITY OF BRIDGEPORT
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