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Organization

NORTH STREET PHYSICAL MEDICINE AND REHABILITATION, PC

Active
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Organization

NORTH STREET PHYSICAL MEDICINE AND REHABILITATION, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD C KOFFLER MD (OWNER)
(203) 312-0210
Entity
Organization

Contact information

Practice address
1 PADANARAM RD, DANBURY, CT 06811-4836
(203) 312-0210
(203) 312-0512
Mailing address
1 PADANARAM RD, DANBURY, CT 06811-4836
(203) 312-0210
(203) 312-0512

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
043130
CT

Other

Enumeration date
03/10/2009
Last updated
04/18/2011
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