Individual
ADRIANA M MORA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
805 ATLANTIC ST, STAMFORD, CT 06902-6805
(203) 696-3260
(203) 333-0346
Mailing address
39 GLENBROOK RD APT 1C, STAMFORD, CT 06902-2976
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3388
CT
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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