Individual
MR. THEO CARLO MAGADIA GUICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
70 PARSONAGE RD, GREENWICH, CT 06830-3941
(877) 787-3430
Mailing address
52 PALMER AVE, STAMFORD, CT 06902-5338
(203) 564-0512
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
008440
CT
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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