Boris Mayzler DO LLC
Family Medicine in Stamford, CT. Organization (NPI-2).
NPI number1376739730
StatusActive
Last updated in NPPESOct 6, 2023
Details
- NPI
- 1376739730
- Entity type
- Organization (NPI-2)
- Legal business name
- Boris Mayzler DO LLC
- Organization subpart
- No
- Enumeration date
- Sep 19, 2007
- Certification date
- Sep 18, 2023
- Last updated
- Oct 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 038982 | CT | Yes |
Practice location
70 Mill River StStamford, CT 06902-3725
Phone 203-961-0063 · Fax 203-961-0064
Mailing address
70 Mill River StStamford, CT 06902-3725
Phone 203-961-0063 · Fax 203-961-0064
Authorized official
Boris Mayzler
Owner
2039610063
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