Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice |
| NPI Number | 1295091312 |
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| LBN Legal business name | AURELIA OSBORN FOX MEMORIAL HOSPITAL STAMFORD | ||||
| Authorized official | TRACEY SMITH - (STAFF ACCOUNTANT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 04/03/2012 | ||||
| Last updated | 09/13/2019 - About 7 years ago | ||||
| Identifiers |
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