| Family Health And Wellness Center Of Bridgeport, Llc | |
|
4699 Main St Suite 201 Bridgeport CT 06606-1830 | |
| (203) 372-9002 | |
| (203) 372-6747 |
| Full Name | Family Health And Wellness Center Of Bridgeport, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4699 Main St, Bridgeport, Connecticut |
| Authorized Official Name and Position | Jennifer Ju (PHYSICIAN) |
| Authorized Official Contact | 2033729002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health And Wellness Center Of Bridgeport, Llc 4699 Main St Suite 201 Bridgeport CT 06606-1830 Ph: (203) 372-9002 | Family Health And Wellness Center Of Bridgeport, Llc 4699 Main St Suite 201 Bridgeport CT 06606-1830 Ph: (203) 372-9002 |
| NPI Number | 1669669073 |
|---|---|
| Provider Enumeration Date | 09/29/2007 |
| Last Update Date | 09/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669669073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 041401 (Connecticut) | Primary |
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