NPI 1013456896
CT Integrated Pain Consultants, LLC
Practice location
- Address
- 125 Kings Hwy N Lower Level, Westport, CT 06880-2428
- Phone
- (203) 815-9916
- Fax
- (203) 557-6688
- Mailing address
- 30 Country Club Dr, Woodbridge, CT 06525-2510
Authorised official
- Name
- Zhaodi Gong
- Title
- Owner & Director
- Phone
- (203) 815-9916
Registered specialties
Pain Medicine (Anesthesiology) Physician
Primary
Registry record
- NPI
- 1013456896
- Entity type
- Organization
- NPI issued
- 14 Feb 2017
- Record last updated
- 26 May 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.