MEDICARE: STAMFORD PEDIATRIC ASSOCIATES, P.C.

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	208000000X	Pediatrics Physician		CT

General Provider Information

NPI Number	:	1831183177
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STAMFORD PEDIATRIC ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	1275 SUMMER ST
Second Line	:	SUITE 301
City	:	STAMFORD
State	:	CT
Zip	:	06905-5359
Country	:	US
Telephone Number	:	203-324-4109
Fax Number	:	203-969-1271

Provider Business Practice Location Address
First Line	:	1275 SUMMER ST
Second Line	:	SUITE 301
City	:	STAMFORD
State	:	CT
Zip	:	06905-5359
Country	:	US
Telephone Number	:	203-324-4109
Fax Number	:	203-969-1271

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	JENNIFER F HENKIND
Credential	:	M.D.
Telephone Number	:	203-324-4109

Provider Enumeration Date	:	09/01/2005
Last Update Date	:	07/21/2022

Similar Medicare Providers

1023016011 — DR. ERIC L WASSERMAN M.D.
Practice Location Address:

1275 SUMMER ST , SUITE 200
STAMFORD, CT
06905-5359

Practice Phone: 203-978-0800
Practice Fax: 203-674-8519

1811980758 — DR. PAUL S LINDNER M.D.
Practice Location Address:

1275 SUMMER ST , SUITE A2
STAMFORD, CT
06905-5359

Practice Phone: 203-978-0072
Practice Fax:

1760451090 — DR. GAD LAVY M.D.
Practice Location Address:

1275 SUMMER ST , SUITE 201
STAMFORD, CT
06905-5359

Practice Phone: 203-325-3200
Practice Fax: 203-323-3130

1942211974 — NEW ENGLAND FERTILITY INSTITUTE LLC
Practice Location Address:

1275 SUMMER ST , SUITE 201
STAMFORD, CT
06905-5359

Practice Phone: 203-325-3200
Practice Fax: 203-323-3130

1104838846 — EYECARE CENTER OF STAMFORD, LLC
Practice Location Address:

1275 SUMMER ST , SUITE 200
STAMFORD, CT
06905-5359

Practice Phone: 203-978-0800
Practice Fax: 203-978-1284

1124122148 — UDAY KUMAR DESAI M.D.
Practice Location Address:

1275 SUMMER ST , SUITE # 102, STAMFORD VA PRIMARY CARE CENTER
STAMFORD, CT
06905-5359

Practice Phone: 203-325-0764
Practice Fax:

Directions to “STAMFORD PEDIATRIC ASSOCIATES, P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.