Individual
EDWARD PORTNAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1177 SUMMER ST FL 5, STAMFORD, CT 06905-5522
(203) 353-1133
Mailing address
1177 SUMMER ST, 5TH FLOOR, STAMFORD, CT 06905-5572
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
039478
CT
207RI0011X
Interventional Cardiology Physician
Primary
039478
CT
207UN0901X
Nuclear Cardiology Physician
039478
CT
2085U0001X
Diagnostic Ultrasound Physician
039478
CT
Other
Enumeration date
09/13/2006
Last updated
04/28/2022
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