Individual
SOPHIA V LEONIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2228 BLACK ROCK TPKE, SUITE 211, FAIRFIELD, CT 06825-3237
(203) 375-9350
(203) 375-8013
Mailing address
2228 BLACK ROCK TPKE, SUITE 211, FAIRFIELD, CT 06825-3237
(203) 375-9350
(203) 375-8013
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
023160
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001231604
—
CT
01
—
00123160400
BLUE CARE FAMILY PLAN
CT
01
—
0040556
U.S. HEALTH CARE
CT
01
—
010023160CT05
BLUE CROSS BLUE SHIELD
CT
01
—
01023160
CIGNA HEALTH PLANS
CT
01
—
061152058
PHCS
CT
01
—
114485
PREFERRED ONE
CT
01
—
2173536
AETNA
CT
01
—
7530584100
CONNECTICARE
CT
01
—
ZP060
OXFORD HEALTH PLAN
CT
Enumeration date
06/20/2006
Last updated
03/17/2015
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