Healthcare Provider Details

I. General information

NPI: 1811980758
Provider Name (Legal Business Name): PAUL S LINDNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2005
Last Update Date: 04/29/2024
Certification Date: 04/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 SUMMER ST SUITE A2
STAMFORD CT
06905-5359
US

IV. Provider business mailing address

1275 SUMMER ST SUITE A2
STAMFORD CT
06905-5359
US

V. Phone/Fax

Practice location:
  • Phone: 203-978-0072
  • Fax:
Mailing address:
  • Phone: 203-978-0072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number029630
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number029630
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: