Organization
STAMFORD PRIMARY CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BIVONA M.D. (OWNER)
(203) 325-2667
Entity
Organization
Contact information
Practice address
1275 SUMMER STREET, #107, STAMFORD, CT 06906
(203) 325-2667
(203) 973-0446
Mailing address
1275 SUMMER STREET, #107, STAMFORD, CT 06906
(203) 324-9325
(203) 973-0446
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
09/11/2007
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