Organization
STELLA MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK DITEODORO MD (MANAGER)
(203) 912-7807
Entity
Organization
Contact information
Practice address
VILLA AT STAMFORD 88 ROCK RIMMON RD, STAMFORD, CT 06903
(203) 912-7807
(203) 358-9775
Mailing address
34 LAWRENCE HILL RD, STAMFORD, CT 06903
(203) 912-7807
(203) 358-9775
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
4729
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/20/2017
Last updated
03/14/2026
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