Organization
GREENWICH NEONATOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STYLIANOS THEOFANIDIS MD (PHYSICIAN)
(203) 863-3515
Entity
Organization
Contact information
Practice address
5 PERRYRIDGE RD, GREENWICH, CT 06830-4608
(203) 863-3515
Mailing address
PO BOX 673, OLD GREENWICH, CT 06870-0673
(203) 863-3515
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
028038
CT
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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