Organization
SOPHIA LEONIDA M.D., PC
Active
Other names
Stationhouse Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOPHIA V. LEONIDA M.D. (OWNER)
(203) 375-9350
Entity
Organization
Contact information
Practice address
2505 MAIN ST., STRATFORD, CT 06615
(203) 375-9350
(203) 375-8013
Mailing address
2505 MAIN ST., STRATFORD, CT 06615
(203) 375-9350
(203) 375-8013
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
023160
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004208923
—
CT
Enumeration date
04/04/2007
Last updated
09/27/2011
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