Provider Demographics
NPI:1588846885
Name:PULMONARY ASSOCIATES OF STAMFORD P.C.
Entity Type:Organization
Organization Name:PULMONARY ASSOCIATES OF STAMFORD P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:CESARIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-348-2437
Mailing Address - Street 1:190 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-3633
Mailing Address - Country:US
Mailing Address - Phone:203-348-2437
Mailing Address - Fax:203-276-7243
Practice Address - Street 1:190 W BROAD ST
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-3633
Practice Address - Country:US
Practice Address - Phone:203-348-2437
Practice Address - Fax:203-276-7243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2017-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTC00506Medicare PIN