Healthcare Provider Details

I. General information

NPI: 1578620381
Provider Name (Legal Business Name): MARGARITA MUNOZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

986 BEDFORD ST
STAMFORD CT
06905-5610
US

IV. Provider business mailing address

986 BEDFORD ST
STAMFORD CT
06905-5610
US

V. Phone/Fax

Practice location:
  • Phone: 203-721-6026
  • Fax:
Mailing address:
  • Phone: 203-721-6026
  • Fax: 203-358-2327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number201606
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number62092
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: