Active NPIIndividual provider

Maria De Vivo, PA-C

Physician Assistant, Surgical in Stamford, Connecticut

NPI Number1922546514
Practice location
1 Hospital Plz, Stamford, CT 06902-3602
Fax
203-276-5560
Last updated
May 19, 2023

Maria De Vivo is a Physician Assistant, Surgical based in Stamford, CT. Maria De Vivo practices in Stamford, CT and has the professional credentials of PA-C. The NPI Number for Maria De Vivo is 1922546514 and holds a License No. 3770 (CT). The current practice location address for Maria De Vivo is 1 Hospital Plz, Stamford, CT 06902-3602 and can be reached out via phone at 203-276-7022 and via fax at 203-276-5560.

Provider Profile Details

NPI Number
1922546514
Provider Name
Maria De Vivo
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1 Hospital Plz, Stamford, CT 06902-3602
Phone Number
203-276-7022
Fax Number
203-276-5560
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Other Names
-- Mary De Vivo (Other Name)
Provider Enumeration Date
February 3, 2017
Last Update Date
May 19, 2023
Certification Date
May 19, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Hospital Plz
Stamford, CT 06902-3602
Zip
06902-3602
Phone Number
203-276-7022
Fax Number
203-276-5560
Stamford, CT 06902Get directions →

Provider Business Mailing Address Details

Address
1 Hospital Plz
Stamford, CT 06902-3602
City
Stamford
State
CT
Zip
06902-3602
Phone Number
203-276-7022
Fax Number
203-276-5560

License Information

License Number
3770
License State
CT
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Maria De Vivo, PA-C?

The NPI number of Maria De Vivo, PA-C is 1922546514. It was assigned on February 3, 2017 and is currently active in the NPPES registry.

What is the specialty of Maria De Vivo, PA-C?

Maria De Vivo, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in CT under license number 3770.

Where does Maria De Vivo, PA-C practice?

The practice location is 1 Hospital Plz, Stamford, CT 06902-3602. The office can be reached at 203-276-7022 (phone) or 203-276-5560 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922546514 directly on the NPPES registry website.

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