Organization
INTEGRATIVE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATIANA FLEISCHMAN (PRESIDENT)
(203) 275-6666
Entity
Organization
Contact information
Practice address
47 OAK ST STE 110, STAMFORD, CT 06905-5320
(203) 275-6666
(203) 900-0643
Mailing address
53 SEASIDE AVE APT 12, STAMFORD, CT 06902-4352
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
049183
CT
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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