# INTEGRATIVE MEDICAL HEALTH & WELLNESS PC

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

## Provider details

- **NPI number:** 1801164520
- **Authorized official:** DR. RICHARD CARL KOFFLER MD (PRINCIPAL)
- **Authorized official phone:** (917) 903-4531

## Contact information

- **Practice address:** 1 ATLANTIC ST, 2ND FLOOR, STAMFORD, CT 06901-2482
- **Practice address phone:** (917) 903-4531
- **Mailing address:** 1 ATLANTIC ST, 2ND FLOOR, STAMFORD, CT 06901-2482
- **Mailing address phone:** (917) 903-4531

## Taxonomy

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

## Other

- **Enumeration date:** 12/08/2011
- **Last updated:** 12/08/2011