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Contact Information

INTEGRATIVE FAMILY MEDICINE OF CT, PLLC
1435 BEDFORD ST STE 1R
STAMFORD, CT06905-5225
 Phone: 203-832-6992
 Fax: 203-658-8728
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Naturopath

175F00000X
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for INTEGRATIVE FAMILY MEDICINE OF CT, PLLC

NPI Number 1174034367
LBN Legal business name INTEGRATIVE FAMILY MEDICINE OF CT, PLLC
Authorized official MINNA KIM - (PHYSICIAN, OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/16/2017
Last updated 10/16/2017 - About 9 years ago
Identifiers
CT License # 000443
CT License # 52918
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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