07D1062401 CLIA NUMBER - JOAO M NASCIMENTO, MD LLC

Laboratory Demographics

CLIA Number: 07D1062401

Facility Name: JOAO M NASCIMENTO, MD LLC

Facility Address:
3203 MAIN ST
BRIDGEPORT, CT
ZIP 06606
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Facility Phone Number: 203 371-0009

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1982616520

Taxonomy: 207RR0500X - Internal Medicine
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

CLIA Record

Field Name	Field Value
CLIA Number	07D1062401
LAB Type	Physician Office
Facility Name	JOAO M NASCIMENTO, MD LLC
Street	3203 MAIN ST
City	BRIDGEPORT
State	CT
ZIP	06606
Phone	203 371-0009
CertificateType	4
CertificateEffectiveDate	12/13/2022
CertificateExpirationDate	12/12/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024