SOPHIA LEONIDA M.D., PC; NPI #1205958675

Contact Information

SOPHIA LEONIDA M.D., PC

2505 MAIN ST.
STRATFORD, CT 06615

Phone: 203-375-9350
Fax: 203-375-8013
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for SOPHIA LEONIDA M.D., PC

NPI Number 1205958675

LBN Legal business name SOPHIA LEONIDA M.D., PC

Authorized official SOPHIA LEONIDA - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/04/2007

Last updated 09/27/2011 - About 15 years ago

Identifiers

CT	License #	023160
CT	Medicaid	004208923

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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SOPHIA LEONIDA M.D., PC

Contact Information

Specialty

Primary Care

NPI Profile & details for SOPHIA LEONIDA M.D., PC

Reviews for SOPHIA LEONIDA M.D., PC