Organization · Type 2 NPI

Integrative MD LLC

Multi-Specialty Clinic/Center · Stamford, CT

NPI number 1396287751 Active

Practice location

47 Oak St Ste 110
Stamford, CT 06905-5320

Fax (203) 900-0643

Mailing address

53 Seaside Ave Apt 12
Stamford, CT 06902-4352

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300X049183 (CT)

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1396287751

Integrative MD LLC's National Provider Identifier is 1396287751, issued on Nov 15, 2016. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Stamford, CT. The record was last updated on Nov 15, 2016.