Dr. Grace Kunjukunju, MD
Pediatrics in Bridgeport, Connecticut
1275611154- Practice location
- 982 E Main St, Bridgeport, CT 06608-1913
- Phone
- 203-696-3260
- Fax
- 203-696-3269
- Last updated
- July 21, 2022
Grace Kunjukunju is a Pediatrics based in Bridgeport, CT. Grace Kunjukunju practices in Bridgeport, CT and has the professional credentials of MD. The NPI Number for Grace Kunjukunju is 1275611154 and holds a License No. 56379 (CT). The current practice location address for Grace Kunjukunju is 982 E Main St, Bridgeport, CT 06608-1913 and can be reached out via phone at 203-696-3260 and via fax at 203-696-3269.
Provider Profile Details
- NPI Number
- 1275611154
- Provider Name
- Grace Kunjukunju
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 982 E Main St, Bridgeport, CT 06608-1913
- Phone Number
- 203-696-3260
- Fax Number
- 203-696-3269
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 1, 2006
- Last Update Date
- July 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 982 E Main St
Bridgeport, CT 06608-1913 - City
- Bridgeport
- State
- Connecticut
- Zip
- 06608-1913
- Phone Number
- 203-696-3260
- Fax Number
- 203-696-3269
Provider Business Mailing Address Details
- Address
- 982 E Main St
Bridgeport, CT 06608-1913 - City
- Bridgeport
- State
- CT
- Zip
- 06608-1913
- Phone Number
- 203-696-3260
- Fax Number
- 203-696-3269
License Information
- License Number
- 56379
- License State
- CT
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Bridgeport, CT
View all Pediatrics providers in Bridgeport →Frequently Asked Questions
What is the NPI number of Dr. Grace Kunjukunju, MD?
The NPI number of Dr. Grace Kunjukunju, MD is 1275611154. It was assigned on November 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Grace Kunjukunju, MD?
Dr. Grace Kunjukunju, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 56379.
Where does Dr. Grace Kunjukunju, MD practice?
The practice location is 982 E Main St, Bridgeport, CT 06608-1913. The office can be reached at 203-696-3260 (phone) or 203-696-3269 (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 1275611154 directly on the NPPES registry website.