Organization
STAMFORD INTERNAL MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAMBROS E SIDERIDES MD (OWNER)
(203) 348-1550
Entity
Organization
Contact information
Practice address
1351 WASHINGTON BLVD, STAMFORD, CT 06902-2419
(203) 322-9472
(203) 322-1264
Mailing address
1351 WASHINGTON BLVD, STAMFORD, CT 06902-2419
(203) 322-9472
(203) 322-1264
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
008653
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1086537
—
CT
Enumeration date
10/24/2007
Last updated
07/25/2008
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