Organization
COASTAL INTERVENTIONAL PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HONGHUI FENG MD (OWNER)
(203) 296-2016
Entity
Organization
Contact information
Practice address
929 BOSTON POST RD, OLD SAYBROOK, CT 06475-2143
(203) 296-2016
Mailing address
11 THOMAS WAITE RD, OLD LYME, CT 06371-1546
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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