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Organization
INTEGRATIVE MEDICAL HEALTH & WELLNESS PC
Active
Organization
INTEGRATIVE MEDICAL HEALTH & WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD CARL KOFFLER MD (PRINCIPAL)
(917) 903-4531
Entity
Organization
Contact information
Practice address
1 ATLANTIC ST, 2ND FLOOR, STAMFORD, CT 06901-2482
(917) 903-4531
Mailing address
1 ATLANTIC ST, 2ND FLOOR, STAMFORD, CT 06901-2482
(917) 903-4531
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
CT
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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