Organization
PHYSICAL MEDICINE AND CHIROPRACTIC CENTER LORELEI DAVIDSON M.D. MARC K
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC DAVID KIRSHNER D.C. (PRESIDENT)
(203) 975-7000
Entity
Organization
Contact information
Practice address
1867 SUMMER ST, STAMFORD, CT 06905-5016
(203) 975-7000
(203) 975-0876
Mailing address
1867 SUMMER ST, STAMFORD, CT 06905-5016
(203) 975-7000
(203) 975-0876
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
044106
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000952CT01
KIRSHNER BC
CT
01
—
050001402CT01
LYNNE BC
CT
05
—
4125747
—
CT
Enumeration date
10/03/2006
Last updated
03/11/2009
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