# ADVANCED SPINE AND PAIN CARE, LLC

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

## Provider details

- **NPI number:** 1275704413
- **Authorized official:** DR. YUTING XIONG M.D., PH.D. (PRESIDENT AND MEDICAL DIRECTOR)
- **Authorized official phone:** (203) 324-2128

## Contact information

- **Practice address:** 970 SUMMER STREET, SECOND FLOOR, STAMFORD, CT 06905-5518
- **Practice address phone:** (203) 324-2128
- **Practice address fax:** (203) 588-1705
- **Mailing address:** 970 SUMMER STREET, SECOND FLOOR, STAMFORD, CT 06905-5518
- **Mailing address phone:** (203) 324-2128
- **Mailing address fax:** (203) 588-1705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 040627 | CT | Yes |

## Other

- **Enumeration date:** 03/16/2008
- **Last updated:** 03/12/2011