NPI 1568733491

Ip CT, LLC

Organisation Pain Medicine Physician Stamford, CT

Practice location

Address: 1 Blachley Rd, Stamford, CT 06902-0002
Phone: (203) 705-2087
Fax: (203) 705-2927
Mailing address: PO Box 626, Great River, NY 11739-0626

Authorised official

Name: Alice Chen
Title: Sole Member
Phone: (203) 705-2087

Registered specialties

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 070403 (CT)

Other Pain Medicine providers in Connecticut →

Registry record

NPI: 1568733491
Entity type: Organization
NPI issued: 24 Jan 2012
Record last updated: 1 Nov 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.