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Organization

STAMFORD FAMILY PRACTICE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RODRIGO ACOSTA MD (MD)
(203) 977-2566
Entity
Organization

Contact information

Practice address
32 STRAWBERRY HILL COURT, SUITE 41096, STAMFORD, CT 06902-2594
(203) 977-2566
(203) 977-2568
Mailing address
32 STRAWBERRY HILL COURT, SUITE 41096, STAMFORD, CT 06902-2594
(203) 977-2566
(203) 977-2568

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
027492
CT

Other

Enumeration date
07/22/2006
Last updated
12/21/2009
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