NPI 1205489077

St Vincents Multispecialty Group INC

Organisation Podiatrist Bridgeport, CT

Practice location

Address: 2409 Main St, Bridgeport, CT 06606-5324
Phone: (203) 334-6955
Fax: (203) 334-2851
Mailing address: 2720 Main St, Bridgeport, CT 06606-5363

Authorised official

Name: Llatoya Gayle
Title: Credentialing Specialist
Phone: (475) 210-5346

Registered specialties (2)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X

Other Podiatrist providers in Connecticut →

Primary Podiatric Medicine Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X

Registry record

NPI: 1205489077
Entity type: Organization
NPI issued: 22 Jul 2019
Record last updated: 22 Jul 2019

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.