STAMFORD INTERNAL MEDICINE, PC
Osteopathic Medicine at Washington Blvd, Stamford, CT

License number
Connecticut 008653
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. LAMBROS E SIDERIDES MD
Title: OWNER
Phone: (203) 348-1550
Address
Address
1351 Washington Blvd, Stamford, CT 06902
National Provider ID: 1093904211
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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STAMFORD INTERNAL MEDICINE, PC

999 Summer St, Stamford, CT 06905

Registration:
Jan 2, 1990
State ID:
0242531
Business type:
Stock
PRESIDENT:
Lambros E. Siderides (PRESIDENT), 999 Summer St, Stamford, CT 06905 (Mailing)
50 Windward Ln, Stamford, CT 06903 (Physical)
Agent:
Lambros E. Sideriedes,1450 Washington Blvd, Stamford, CT 06902 (Mailing)
50 Windward Ln, Stamford, CT 06903 (Physical)

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