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Organization
STAMFORD CENTER FOR INTEGRATIVE MEDICINE PLLC
Active
Organization
STAMFORD CENTER FOR INTEGRATIVE MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KACHKO ND, LAC (OWNER)
(929) 379-0921
Entity
Organization
Contact information
Practice address
1200 HIGH RIDGE RD, 2ND FLOOR, STAMFORD, CT 06905
(929) 379-0920
(929) 379-0925
Mailing address
1200 HIGH RIDGE RD, 2ND FLOOR, STAMFORD, CT 06905
(929) 379-0920
(929) 379-0925
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
171100000X
Acupuncturist
—
—
175F00000X
Naturopath
Primary
—
—
202D00000X
Integrative Medicine Physician
—
—
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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