| Angelo Mallozzi ,MD, PC | |
|
90 Morgan St Ste 102 Stamford CT 06905-5436 | |
| (203) 273-6311 | |
| Not Available |
| Full Name | Angelo Mallozzi ,MD, PC |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 07/01/2024 |
| Last Update Date | 07/01/2024 |
| Certification Date | 06/30/2024 |
| Medicare PECOS PAC ID | 5294276051 |
|---|---|
| Medicare Enrollment ID | O20240919002584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114762119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Angelo Mallozzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689768558 PECOS PAC ID: 2466354311 Enrollment ID: I20100309000818 |
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