Individual
MAGGIE GIAMBALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1177 SUMMER ST FL 5, STAMFORD, CT 06905-5522
(203) 353-1133
(203) 653-3398
Mailing address
752 TOWNE HOUSE RD, FAIRFIELD, CT 06824-1819
(203) 581-0939
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5067
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/03/2020
Last updated
02/09/2021
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