| Casa Eugenio Maria De Hostos | |
|
690 Arctic St Bridgeport CT 06608-2008 | |
| (203) 339-4112 | |
| (203) 339-4115 |
| Full Name | Casa Eugenio Maria De Hostos |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 690 Arctic St, Bridgeport, Connecticut |
| Authorized Official Name and Position | Asher Delerme (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2033394112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa Eugenio Maria De Hostos 1124 Iranistan Ave Bridgeport CT 06605-1121 Ph: (203) 331-4728 | Casa Eugenio Maria De Hostos 690 Arctic St Bridgeport CT 06608-2008 Ph: (203) 339-4112 |
| NPI Number | 1225247224 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 03/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225247224 | NPI | - | NPPES |
| 004112918 | Medicaid | CT |
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