MEDICARE: AMY HARNED M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	036815	CT

General Provider Information

NPI Number	:	1548262074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY HARNED M.D.

Provider Business Mailing Address
First Line	:	1290 SUMMER ST
Second Line	:	SUITE 3600
City	:	STAMFORD
State	:	CT
Zip	:	06905-5360
Country	:	US
Telephone Number	:	203-325-3576
Fax Number	:	203-325-4280

Provider Business Practice Location Address
First Line	:	1290 SUMMER ST
Second Line	:	SUITE 3600
City	:	STAMFORD
State	:	CT
Zip	:	06905-5360
Country	:	US
Telephone Number	:	203-325-3576
Fax Number	:	203-325-4280

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	07/08/2007

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