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Contact Information

CT INTEGRATED PAIN CONSULTANTS, LLC
125 KINGS HWY N
LOWER LEVEL
WESTPORT, CT06880-2428
 Phone: 203-815-9916
 Fax: 203-557-6688
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for CT INTEGRATED PAIN CONSULTANTS, LLC

NPI Number 1013456896
LBN Legal business name CT INTEGRATED PAIN CONSULTANTS, LLC
Authorized official ZHAODI GONG - (OWNER & DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/14/2017
Last updated 05/26/2017 - About 9 years ago
Identifiers
CT License # 52543
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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