Organization · Type 2 NPI
CT Preventive Health Edge Medical PC
General Practice Physician · Stamford, CT
NPI number
1972394773
Active
Practice location
9 W Broad St Ste 320
Stamford, CT 06902-3758
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse | 163WG0000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| General Practice Physician Primary | 208D00000X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
3 other providers at this address
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About NPI 1972394773
CT Preventive Health Edge Medical PC's National Provider Identifier is 1972394773, issued on May 13, 2025. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Stamford, CT. The record was last updated on May 16, 2025.