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Organization
STAMFORD OPHTHALMOLOGY, LLC
Active
Organization
STAMFORD OPHTHALMOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH SIDERIDES MD (OWNER)
(203) 327-5808
Entity
Organization
Contact information
Practice address
1351 WASHINGTON BLVD 101, STAMFORD, CT 06902
(203) 327-5808
(203) 352-5199
Mailing address
1351 WASHINGTON BLVD 101, STAMFORD, CT 06902
(203) 327-5808
(203) 352-5199
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
001612
CT
207W00000X
Ophthalmology Physician
Primary
030718
CT
Other
Enumeration date
07/16/2009
Last updated
03/22/2018
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