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MAURA ANGIELLO-SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1275 SUMMER ST, SUITE 301, STAMFORD, CT 06905-5359
(203) 324-4100
(203) 969-1271
Mailing address
1275 SUMMER ST, SUITE 301, STAMFORD, CT 06905-5359
(203) 324-4100
(203) 969-1271

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042324
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001423243
CT
01
010042324CT01
BLUE CROSS-STAMFORD
CT
01
010042324CT02
BLUE CROSS-DARIEN
CT
01
042324
CONNECTICARE
CT
01
06-0873781
GREAT WEST
CT
01
11213145
CAQH
CT
01
2V4896
HEALTHNET
CT
01
3538087
AETNA
CT
01
P3254682
OXFORD
CT
Enumeration date
11/22/2006
Last updated
11/16/2009
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