Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bridgeport Family Medicine LLC

Organization Family Medicine Physician · NPI 1548642283

Bridgeport Family Medicine LLC is a Family Medicine Physician in Bridgeport, Connecticut. Licensed in Connecticut. Registered with an NPI since 2015.

Licensed in
CT
In the registry since
2015
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

754 Clinton Ave
Bridgeport, CT 06604
Phone: (203) 243-6018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 049851 (CT)
Urgent Care Clinic/Center Taxonomy 261QU0200X · Licence 049851 (CT)

Record details

NPI number1548642283
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Awais Malik — Medical Director · (203) 243-6018
NPI enumeratedJune 18, 2015
Last updated in NPPESJune 18, 2015
Mailing address112 Sunnyridge Ave, Fairfield, CT 06824-4620

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