# NORTH STREET PHYSICAL MEDICINE AND REHABILITATION, PC

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

## Provider details

- **NPI number:** 1730320474
- **Authorized official:** DR. RICHARD C KOFFLER MD (OWNER)
- **Authorized official phone:** (203) 312-0210

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 043130 | CT | Yes |

## Other

- **Enumeration date:** 03/10/2009
- **Last updated:** 04/18/2011