# ADVANCED WELLNESS AND MUSCULOSKELETAL PAIN CLINIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ADVANCED WELLNESS AND MUSCULOSKELETAL PAIN CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851932016
- **Authorized official:** DR. KIN P TSOI MD (PRESIDENT)
- **Authorized official phone:** (917) 603-2993

## Contact information

- **Practice address:** 595 SUMMER ST STE 1, STAMFORD, CT 06901-1407
- **Practice address phone:** (203) 998-7688
- **Practice address fax:** (475) 333-0511
- **Mailing address:** 595 SUMMER ST STE 1, STAMFORD, CT 06901-1407
- **Mailing address phone:** (203) 998-7688
- **Mailing address fax:** (475) 333-0511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 09/30/2019
- **Last updated:** 09/30/2019