Organization
COASTAL CONNECTICUT RADIOLOGY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAND STACK MD, MBA (PRESIDENT)
(201) 788-5113
Entity
Organization
Contact information
Practice address
30 SHELBURNE RD, STAMFORD, CT 06902-3628
(203) 276-1000
Mailing address
PO BOX 1454, STAMFORD, CT 06904-1454
(201) 788-5113
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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