Organization
CT INTEGRATED PAIN CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZHAODI GONG MD (OWNER & DIRECTOR)
(203) 815-9916
Entity
Organization
Contact information
Practice address
125 KINGS HWY N, LOWER LEVEL, WESTPORT, CT 06880-2428
(203) 815-9916
(203) 557-6688
Mailing address
30 COUNTRY CLUB DR, WOODBRIDGE, CT 06525-2510
(203) 815-9916
(203) 557-6688
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
52543
CT
Other
Enumeration date
02/14/2017
Last updated
05/26/2017
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