# LEIF O NORDBERG MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CVW Body Design Center - Stamford, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043482128
- **Authorized official:** DR. LEIF O NORDBERG M.D. (PRESIDENT)
- **Authorized official phone:** (203) 324-1971

## Contact information

- **Practice address:** 2001 W MAIN ST, SUITE 155, STAMFORD, CT 06902
- **Practice address phone:** (203) 324-4700
- **Practice address fax:** (203) 324-5691
- **Mailing address:** 2001 W MAIN ST, SUITE 155, STAMFORD, CT 06902-4501
- **Mailing address phone:** (203) 324-1971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 349 | CT | Yes |

## Other

- **Enumeration date:** 03/28/2008
- **Last updated:** 08/22/2018