Nova Vita Medical Pc

LBN: Nova Vita Medical Pc
Nova Vita Medical Pc is an health care organization with primary practice located at 3180 Main St , Bridgeport CT 06606. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Nova Vita Medical Pc can be contacted via phone (203) 870-1616, or through Udoyen, Ubong Jackson via phone (203) 870-1616.

Contact Information

Primary practice address
3180 Main St Bridgeport CT 06606
Phone: (203) 870-1616
Fax: (203) 870-1615
Website:
Map and Directions
Authorized official contact:
Name: Udoyen, Ubong Jackson
Phone: (203) 870-1616

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 50553 Connecticut

Profile Details

NPI number 1659884690
LBN Legal business name Nova Vita Medical Pc
DBA Doing business as
Authorized official Udoyen, Ubong Jackson
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2017
Last updated Jun 16th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659884690 NPPES
Connecticut Other 50553 STATE LICENSE

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