Most Relevant Information
Provider Data
| NPI Number: | 1003486028 |
| Provider Name: | JEFFREY HAMRLICEK PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: | 5367 |
Most Important Dates
| Enumeration Date: | 06/30/2021 |
| Last Updated: | 09/27/2021 |
Provider Practice Location
1 HOSPITAL PLZ
STAMFORD
CT
069023602
Practice Location Phone/Fax
| Phone: | 2032767022 |
| Fax: | 2032765560 |
Provider Mailing Location
1 HOSPITAL PLZ
STAMFORD
CT
069023602
Provider Mailing Phone/Fax
| Phone: | 2032767022 |
| Fax: | 2032765560 |