Organization
STAMFORD GASTROENTEROLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARLENE NEGBENEBOR M.D. (PRESIDENT)
(203) 998-7400
Entity
Organization
Contact information
Practice address
90 MORGAN ST, SUITE 201, STAMFORD, CT 06905-5406
(203) 998-7400
(203) 358-4755
Mailing address
19 HIGH RIDGE RD, 3617, STAMFORD, CT 06905-7801
(203) 998-7400
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
043139
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891728853
NPI
—
Enumeration date
02/04/2014
Last updated
07/02/2014
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