Organization
STAMFORD REHABILITATION ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADRIAN BANC (MEMBER)
(203) 613-6070
Entity
Organization
Contact information
Practice address
110 PROSPECT ST STE 3, STAMFORD, CT 06901-1203
(203) 613-6070
Mailing address
110 PROSPECT ST STE 3, STAMFORD, CT 06901-1203
(203) 613-6070
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
1005
CT
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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