Stamford Primary Care, P.c. | |
1275 Summer Street #107 Stamford CT 06906 | |
(203) 325-2667 | |
(203) 973-0446 |
Full Name | Stamford Primary Care, P.c. |
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Speciality | General Practice |
Location | 1275 Summer Street, Stamford, Connecticut |
Authorized Official Name and Position | James Bivona (OWNER) |
Authorized Official Contact | 2033252667 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Stamford Primary Care, P.c. 1275 Summer Street #107 Stamford CT 06906 Ph: (203) 324-9325 | Stamford Primary Care, P.c. 1275 Summer Street #107 Stamford CT 06906 Ph: (203) 325-2667 |
NPI Number | 1881895324 |
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Provider Enumeration Date | 05/31/2007 |
Last Update Date | 09/11/2007 |
Medicare PECOS PAC ID | 1557446952 |
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Medicare Enrollment ID | O20091217000230 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881895324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Lee Tracy Silva |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669528311 PECOS PAC ID: 3577603851 Enrollment ID: I20100910001085 |
Provider Name | James J Bivona |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063571560 PECOS PAC ID: 1850431131 Enrollment ID: I20110527000265 |
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