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Organization

PEDIATRIC PRACTICE ASSOCIATES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HAYDEE L. LANCMAN M.D. (OWNER)
(203) 323-8171
Entity
Organization

Contact information

Practice address
1515 SUMMER ST, STE. 101, STAMFORD, CT 06905-5149
(203) 323-8171
(203) 323-7122
Mailing address
1515 SUMMER ST, STE. 101, STAMFORD, CT 06905-5149
(203) 323-8171
(203) 323-7122

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
037157
CT
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
037157
CT
363LP0200X
Pediatric Nurse Practitioner
003351
CT

Other

Enumeration date
09/28/2007
Last updated
09/08/2011
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