NPI 1003837360

Stamford Family Practice PC

Organisation Preferred Provider Organization Stamford, CT

Practice location

Address: 32 Strawberry Hill Court Suite 41096, Stamford, CT 06902-2594
Phone: (203) 977-2566
Fax: (203) 977-2568

Authorised official

Name: Rodrigo Acosta
Title: MD
Phone: (203) 977-2566

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 027492 (CT)

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Registry record

NPI: 1003837360
Entity type: Organization
NPI issued: 22 Jul 2006
Record last updated: 21 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.