NPI 1205171626

Part Avenue Medical Associates, LLC

Organisation Skilled Nursing Facility Bridgeport, CT

Practice location

Address: 80 Hooker Rd, Bridgeport, CT 06610-1316
Phone: (203) 345-3095

Authorised official

Name: Marie Carolle Joseph
Title: Family Nurse Practitioner
Phone: (203) 345-3095

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 005094 (CT)

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Registry record

NPI: 1205171626
Entity type: Organization
NPI issued: 11 Dec 2012
Record last updated: 11 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.