| Integrative Md Llc | |
|
47 Oak St Ste 110 Stamford CT 06905-5320 | |
| (203) 275-6666 | |
| (203) 900-0643 |
| Full Name | Integrative Md Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 47 Oak St Ste 110, Stamford, Connecticut |
| Authorized Official Name and Position | Tatiana Fleischman (PRESIDENT) |
| Authorized Official Contact | 2032756666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Md Llc 53 Seaside Ave Apt 12 Stamford CT 06902-4352 Ph: () - | Integrative Md Llc 47 Oak St Ste 110 Stamford CT 06905-5320 Ph: (203) 275-6666 |
| NPI Number | 1396287751 |
|---|---|
| Provider Enumeration Date | 11/15/2016 |
| Last Update Date | 11/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396287751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 049183 (Connecticut) | Primary |
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