Organization
ADVANCED INTERVENTIONAL PAIN MANAGEMENT, P.C.
Active
Organization
ADVANCED INTERVENTIONAL PAIN MANAGEMENT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY CARRUTH M.D. (MEDICAL DIRECTOR)
(203) 876-8854
Entity
Organization
Contact information
Practice address
2080 BRIDGEPORT AVE STE C, MILFORD, CT 06460
(203) 876-8854
(203) 876-2626
Mailing address
PO BOX 264, SHELTON, CT 06484-0264
(203) 876-8854
(203) 876-2626
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
041160
CT
Other
Enumeration date
05/31/2007
Last updated
08/02/2018
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