NPI 1174549257 · live from the CMS NPI Registry
Bridgeport Anesthesia Associates, P.C.
Anesthesiology in Bridgeport, CT. National Provider Identifier 1174549257, active.
NPI record
| NPI | 1174549257 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 267 Grant St, Bridgeport, CT 06610 |
| Practice phone | 203-384-3072 |
| Mailing address | 7365 Main St, Suite 310, Stratford, CT 06614 |
| Enumerated | July 14, 2006 |
| Last updated | October 27, 2009 |
| Authorized official | Kenneth Stone, Authorized Agent |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Anesthetist, Certified Registered | 367500000X | — |
| Anesthesiology primary | 207L00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.