Angelo Mallozzi ,md, Pc | |
90 Morgan St Ste 102 Stamford CT 06905-5436 | |
(203) 273-6311 | |
Not Available |
Full Name | Angelo Mallozzi ,md, Pc |
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Speciality | Clinic/Center |
Location | 90 Morgan St Ste 102, Stamford, Connecticut |
Authorized Official Name and Position | Angelo Mallozzi (OWNER) |
Authorized Official Contact | 2032736311 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Angelo Mallozzi ,md, Pc 90 Morgan St Ste 102 Stamford CT 06905-5436 Ph: (203) 273-6311 | Angelo Mallozzi ,md, Pc 90 Morgan St Ste 102 Stamford CT 06905-5436 Ph: (203) 273-6311 |
NPI Number | 1114762119 |
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Provider Enumeration Date | 07/01/2024 |
Last Update Date | 07/01/2024 |
Medicare PECOS PAC ID | 5294276051 |
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Medicare Enrollment ID | O20240919002584 |
Identifier | Type | State | Issuer |
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1114762119 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Angelo Mallozzi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689768558 PECOS PAC ID: 2466354311 Enrollment ID: I20100309000818 |
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