NPI 1578308862

Img Medical Group Mi, P.C.

Organisation Sports Medicine (Family Medicine) Physician Stamford, CT

Practice location

Address: 201 Broad St STE 420, Stamford, CT 06901-2004
Phone: (888) 760-4266

Authorised official

Name: Kelsi Sullivan
Title: Vp Clinical Services
Phone: (888) 760-4266

Registered specialties

Sports Medicine (Family Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QS0010X

Other Family Medicine providers in Connecticut →

Registry record

NPI: 1578308862
Entity type: Organization
NPI issued: 27 Jun 2024
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.