Healthcare Provider Details
I. General information
NPI: 1508711458
Provider Name (Legal Business Name): STAMFORD UC PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/04/2026
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
354 SAWMILL RD
WEST HAVEN CT
06516-4005
US
IV. Provider business mailing address
PO BOX 10417
HOLYOKE MA
01041-2017
US
V. Phone/Fax
- Phone: 203-896-7000
- Fax: 203-399-0180
- Phone: 203-345-2150
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MUHAMMAD
ZAMAN
Title or Position: CENTER DIRECTOR
Credential:
Phone: 203-896-7000