Organization
STAMFORD PODIATRY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY T GIORDANO (MANAGER)
(203) 323-1171
Entity
Organization
Contact information
Practice address
1234 SUMMER ST STE 202, STAMFORD, CT 06905-5510
(203) 323-1711
(203) 323-4649
Mailing address
1234 SUMMER ST STE 202, STAMFORD, CT 06905-5510
(203) 323-1711
(203) 323-4649
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
01/18/2007
Last updated
12/30/2020
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