Maria De Vivo, PA-C
NPI #1922546514 in Stamford, Connecticut
Provider Information
- NPI Number
- 1922546514
- Entity Type
- Individual
- Name
- Maria De Vivo, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA-C
- Enumeration Date
- Feb 3, 2017
- Last Updated
- May 19, 2023
Practice Location
- Address
- 1 HOSPITAL PLZ
- City
- Stamford
- State
- Connecticut
- ZIP Code
- 06902-3602
- Phone
- (203) 276-7022
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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