Active NPIOrganization

St Vincents Multispecialty Group INC

Podiatrist in Bridgeport, Connecticut

NPI Number1205489077
Practice location
2409 Main St, Bridgeport, CT 06606-5324
Fax
203-334-2851
Last updated
July 22, 2019

St Vincents Multispecialty Group INC is a healthcare organization based in Bridgeport, CT. St Vincents Multispecialty Group INC practices in Bridgeport, CT. The NPI Number for St Vincents Multispecialty Group INC is 1205489077. The current practice location address for St Vincents Multispecialty Group INC is 2409 Main St, Bridgeport, CT 06606-5324 and can be reached out via phone at 203-334-6955 and via fax at 203-334-2851.

Provider Profile Details

NPI Number
1205489077
Provider Name
St Vincents Multispecialty Group INC
Provider Entity Type
Organization
Address
2409 Main St, Bridgeport, CT 06606-5324
Phone Number
203-334-6955
Fax Number
203-334-2851
Primary Taxonomy
Podiatrist · 213E00000X
Organization Subpart
Yes
Parent Organization
St Vincents Multispecialty Group INC
Authorized Official
Llatoya Gayle · Credentialing Specialist · 475-210-5346
Other Names
Family Foot & Ankle Specialists (Doing Business As)
Provider Enumeration Date
July 22, 2019
Last Update Date
July 22, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
2409 Main St
Bridgeport, CT 06606-5324
Zip
06606-5324
Phone Number
203-334-6955
Fax Number
203-334-2851
Bridgeport, CT 06606Get directions →

Provider Business Mailing Address Details

Address
2720 Main St
Bridgeport, CT 06606-5363
City
Bridgeport
State
CT
Zip
06606-5363
Phone Number
475-210-5346

License Information

Taxonomy (1)
Podiatrist, Primary Podiatric Medicine · 213EP1101X
Taxonomy (2)
Podiatrist · 213E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of St Vincents Multispecialty Group INC?

The NPI number of St Vincents Multispecialty Group INC is 1205489077. It was assigned on July 22, 2019 and is currently active in the NPPES registry.

What is the specialty of St Vincents Multispecialty Group INC?

St Vincents Multispecialty Group INC is registered under the primary taxonomy Podiatrist (code 213E00000X).

Where does St Vincents Multispecialty Group INC practice?

The practice location is 2409 Main St, Bridgeport, CT 06606-5324. The office can be reached at 203-334-6955 (phone) or 203-334-2851 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205489077 directly on the NPPES registry website.

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