NPI 1255636635

General Prize One Corp

Organisation General Practice Physician Stamford, CT

Practice location

Address: 1177 High Ridge Rd, Stamford, CT 06905-1221
Phone: (203) 321-2158

Authorised official

Name: Evgeniy Tatarov
Title: Owner
Phone: (203) 321-2158

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Connecticut →

Registry record

NPI: 1255636635
Entity type: Organization
NPI issued: 17 Jan 2011
Record last updated: 17 Jan 2011

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.