NPI 1417229949

Care Integrative Internal Medicine, LLC

Organisation Health Maintenance Organization Bridgeport, CT

Practice location

Address: 4697 Main St, Bridgeport, CT 06606-1869
Phone: (203) 386-0001
Mailing address: 39 Nob Hill Cir Unit B, Bridgeport, CT 06610-1827

Authorised official

Name: Joseph Junior Johnson
Title: Naturopathic Physician
Phone: (203) 345-9335

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 000471 (CT)

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Registry record

NPI: 1417229949
Entity type: Organization
NPI issued: 30 Jan 2012
Record last updated: 30 Jan 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.