Individual
DR. ELIZABETH SIDERIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1351 WASHINGTON BLVD STE 101, STAMFORD, CT 06902-2419
(203) 325-0805
(203) 352-5199
Mailing address
1351 WASHINGTON BLVD STE 101, STAMFORD, CT 06902-2419
(203) 327-5808
(203) 352-5199
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
030718
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001307182
—
CT
Enumeration date
10/25/2006
Last updated
09/22/2010
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