NPI 1548642283

Bridgeport Family Medicine LLC

Organisation Family Medicine Physician Bridgeport, CT

Practice location

Address: 754 Clinton Ave, Bridgeport, CT 06604
Phone: (203) 243-6018
Mailing address: 112 Sunnyridge Ave, Fairfield, CT 06824-4620

Authorised official

Name: Awais Malik
Title: Medical Director
Phone: (203) 243-6018

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 049851 (CT)

Other Family Medicine providers in Connecticut →

Urgent Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QU0200X Licence 049851 (CT)

Other Clinic/Center providers in Connecticut →

Registry record

NPI: 1548642283
Entity type: Organization
NPI issued: 18 Jun 2015
Record last updated: 18 Jun 2015

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.