Individual provider · Type 1 NPI

Maria De Vivo, PA-C

Surgical Physician Assistant · Stamford, CT

NPI number 1922546514 Active

Practice location

1 Hospital Plz
Stamford, CT 06902-3602

Call (203) 276-7022 Map

Fax (203) 276-5560

Other practice locations

  • 34 Maple St, Norwalk, CT 06850-3815 · (203) 852-2189
  • 34 Maple St, Norwalk, CT 06850-3815 · (203) 852-2189

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X3770 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1922546514

Maria De Vivo, PA-C's National Provider Identifier is 1922546514, issued on Feb 3, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Stamford, CT. The record was last updated on May 19, 2023.