NPI 1073752531

Jonathan N Lazare M.D, P.C

Organisation Preferred Provider Organization Stamford, CT

Practice location

Address: 70 Mill River St, Stamford, CT 06902-3725
Phone: (203) 327-1834
Mailing address: PO Box 286511, New York, NY 10128-0005

Authorised official

Name: Jonathan Nicholas Lazare
Title: Physician
Phone: (212) 426-0400

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 032239 (CT)

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Registry record

NPI: 1073752531
Entity type: Organization
NPI issued: 6 Feb 2009
Record last updated: 9 Feb 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.