Provider Demographics
NPI:1952416299
Name:BEMIS, CLAUDIA CLAIRE (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:CLAIRE
Last Name:BEMIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:C/O NORTHEAST MEDICAL GROUP, INC.
Mailing Address - Street 2:226 MILL HILL AVE., 3RD FLOOR
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06610-2826
Mailing Address - Country:US
Mailing Address - Phone:203-784-8770
Mailing Address - Fax:
Practice Address - Street 1:34 PARK ST CMHC
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06508
Practice Address - Country:US
Practice Address - Phone:203-974-7264
Practice Address - Fax:203-974-7284
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT0309472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry