Organization
STAMFORD NEUROLOGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESE MARIE HENNESSY (BILLING)
(203) 359-1206
Entity
Organization
Contact information
Practice address
22 5TH ST, STAMFORD, CT 06905-5030
(203) 359-1206
(203) 359-0419
Mailing address
22 5TH ST, STAMFORD, CT 06905-5030
(203) 359-1206
(203) 359-0419
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
020144
CT
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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