NPI 1023102209

Physical Medicine and Chiropractic Center Lorelei Davidson M.D. Marc K

Organisation Sports Medicine (Neuromusculoskeletal Medicine) Physician Stamford, CT

Practice location

Address: 1867 Summer St, Stamford, CT 06905-5016
Phone: (203) 975-7000
Fax: (203) 975-0876

Authorised official

Name: Marc David Kirshner
Title: President
Phone: (203) 975-7000

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 044106 (CT)

Other Neuromusculoskeletal Medicine, Sports Medicine providers in Connecticut →

Registry record

NPI: 1023102209
Entity type: Organization
NPI issued: 3 Oct 2006
Record last updated: 11 Mar 2009

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.