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Organization
STAMFORD PHYSICAL MEDICINE PC
Active
Organization
STAMFORD PHYSICAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD INGLIS (PRESIDENT)
(203) 325-0174
Entity
Organization
Contact information
Practice address
90 MORGAN ST, SUITE 203, STAMFORD, CT 06905-5466
(203) 325-0174
(203) 325-3551
Mailing address
90 MORGAN ST, SUITE 203, STAMFORD, CT 06905-5466
(203) 325-0174
(203) 325-3551
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
033974
CT
Other
Enumeration date
06/27/2014
Last updated
02/05/2015
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