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Individual

JAMES JOSEPH BIVONA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1275 SUMMER ST, SUITE 105, STAMFORD, CT 06905-5359
(203) 325-2667
(203) 973-0446
Mailing address
146 HEMPSTEAD AVE, ROCKVILLE CENTRE, NY 11570-2905
(516) 887-7232

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
038789
CT

Other

Enumeration date
12/08/2006
Last updated
08/11/2010
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