# CT INTEGRATED PAIN CONSULTANTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013456896
- **Authorized official:** DR. ZHAODI GONG MD (OWNER & DIRECTOR)
- **Authorized official phone:** (203) 815-9916

## Contact information

- **Practice address:** 125 KINGS HWY N, LOWER LEVEL, WESTPORT, CT 06880-2428
- **Practice address phone:** (203) 815-9916
- **Practice address fax:** (203) 557-6688
- **Mailing address:** 30 COUNTRY CLUB DR, WOODBRIDGE, CT 06525-2510
- **Mailing address phone:** (203) 815-9916
- **Mailing address fax:** (203) 557-6688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 52543 | CT | Yes |

## Other

- **Enumeration date:** 02/14/2017
- **Last updated:** 05/26/2017