Organization
STAMFORD NEPHROLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIKO FLEMING (OFFICE MANAGER)
(203) 324-7666
Entity
Organization
Contact information
Practice address
30 COMMERCE RD, STAMFORD, CT 06902-4550
(203) 324-7666
Mailing address
30 COMMERCE RD, STAMFORD, CT 06902-4550
(203) 324-7666
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000129151
—
CT
05
—
0012891040
—
CT
05
—
001394692
—
CT
Enumeration date
07/10/2006
Last updated
02/01/2012
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