NPI 1174205306

Img Medical Group Nj, P.A.

Organisation Sports Medicine (Family Medicine) Physician Stamford, CT

Practice location

Address: 201 Broad St STE 420, Stamford, CT 06901-2004
Phone: (917) 334-9589

Authorised official

Name: Robert Refowitz
Title: President
Phone: (917) 334-9589

Registered specialties (2)

Sports Medicine (Family Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QS0010X

Other Family Medicine providers in Connecticut →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Connecticut →

Registry record

NPI: 1174205306
Entity type: Organization
NPI issued: 7 Aug 2023
Record last updated: 28 Jun 2024

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.