Organization
PETER Y SIROKA DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER Y SIROKA (DPM PC)
(203) 614-8185
Entity
Organization
Contact information
Practice address
1275 SUMMER ST STE 106, STAMFORD, CT 06905-5315
(203) 614-8185
(203) 614-8186
Mailing address
1450 WASHINGTON BLVD, 1ST FLOOR, STAMFORD, CT 06902-2451
(203) 327-9321
(203) 967-2140
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003988-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56030000334CT1
ANTHEM BCBS
CT
Enumeration date
07/24/2007
Last updated
03/31/2020
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