Charles N Bruce-tagoe (NPI# 1417122946, PAC ID# 5597899757) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1417122946 |
| PAC ID by PECOS | 5597899757 |
| Professional Enrollment ID | I20100810000971 |
| Full Name | Charles N Bruce-tagoe |
| Organization Legal Name | ST. VINCENT'S MULTISPECIALTY GROUP |
| Address |
3272 Main St Stratford CT 06614-4819 |
| Phone Number | 2035765346 |
| Gender | M |
| Graduation Year | 1996 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6204977218 |
| Number of Group Practice Members | 198 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070028 | ST. VINCENT'S MEDICAL CENTER |
| 070010 | BRIDGEPORT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2900 Main St, 1d, Stratford, CT 06614-4946 | 2033780092 | REHABILITATION ASSOCIATES INC |
| 3272 Main St, Stratford, CT 06614-4819 | 2035765346 | ST. VINCENT'S MULTISPECIALTY GROUP |
| Organization Legal Name | ST. VINCENT'S MULTISPECIALTY GROUP |
| Physicians | 167 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Audrey Lorraine Harrell | Psychiatry | St. Vincent's Multispecialty Group | 47 Long Lots Rd, Westport, CT 06880-3828 |
| Danielle C Rivera | Nurse Practitioner | St. Vincent's Multispecialty Group | 2979 Main St, Bridgeport, CT 06606-4284 |
| Imran Siddiqui | General Surgery | St. Vincent's Multispecialty Group | 2660 Main St, Suite 110, Bridgeport, CT 06606-5300 |
| Elizabeth Bergman | Clinical Social Worker | St. Vincent's Multispecialty Group | 2595 Main St, Stratford, CT 06615-5812 |
| Antonela Barbu | Family Medicine | St. Vincent's Multispecialty Group | 2238 Black Rock Tpke, Fairfield, CT 06825-3219 |
| Andre L Newfield | Psychiatry | St. Vincent's Multispecialty Group | 1 Lois St, Norwalk, CT 06851-4404 |
| Anna Wisniewski-zyskowski | Psychiatry | St. Vincent's Multispecialty Group | 2400 Main St, Bridgeport, CT 06606-5323 |
| Stephanie Katherine Gohlsch | Physician Assistant | St. Vincent's Multispecialty Group | 2800 Main St, Bridgeport, CT 06606-4201 |
| Fereshteh Ahmadian | Internal Medicine | St. Vincent's Multispecialty Group | 2800 Main St, Bridgeport, CT 06606-4201 |
| Gabriel Arimoro | Psychiatry | St. Vincent's Multispecialty Group | 2800 Main St, Bridgeport, CT 06606-4201 |
| Street Address |
3272 MAIN ST |
| City | STRATFORD |
| State | CT |
| Zip | 06614-4819 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward Thomas Carreras | Cardiovascular Disease (cardiology) | Cardiology Physicians of Fairfield County LLC | 3272 Main St, Stratford, CT 06614-4819 |
| Deanne Walsh | Nurse Practitioner | St. Vincents Urgent Care LLC | 3272 Main St, Stratford, CT 06614-4819 |
| Monika Kaul | Family Medicine | St. Vincent's Multispecialty Group | 3272 Main St, Stratford, CT 06614-4819 |
| Avanti Vigg | Internal Medicine | St. Vincent's Multispecialty Group | 3272 Main St, Stratford, CT 06614-4819 |
| Kenan F Tarabar | Emergency Medicine | St. Vincents Urgent Care LLC | 3272 Main St, Stratford, CT 06614-4819 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Mcguigan | Certified Registered Nurse Anesthetist | Bridgeport Anesthesia Associates, P.C. | 267 Grant St, Bridgeport, CT 06614 |
| Karren Agyekum | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 1 Hawley Ln, Stratford, CT 06614-1200 |
| Erin E Rossettie | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 1 Hawley Ln, Stratford, CT 06614-1200 |
| Shari G Weisenfeld | Internal Medicine | St. Vincents Urgent Care LLC | 7365 Main St, Suite 7, Stratford, CT 06614-1300 |
| Cama Patel | Family Medicine | St. Vincents Urgent Care LLC | 7365 Main St, Suite 7, Stratford, CT 06614-1300 |
| Peter J Braglia | Chiropractic | 7365 Main St, Suite 13, Stratford, CT 06614-1300 | |
| William B Sacks | Emergency Medicine | St Vincents Urgent Care LLC | 7365 Main St, Suite 7, Stratford, CT 06614-1300 |
| Mark L Friedman | Emergency Medicine | St Vincents Urgent Care LLC | 7365 Main St, Suite 7, Stratford, CT 06614-1300 |
| Robert M Milstein | Psychiatry | 999 Oronoque Lane, Stratford, CT 06614-1379 | |
| Emily Bietsch | Physical Therapy | 999 Oronoque Ln, Suite 1, Stratford, CT 06614-1379 | |
| Find all physicians in zip 06614 | |||
| City | STRATFORD |
| Zip Code | 06614 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | STRATFORD + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Charles N Bruce-tagoe.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.