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Organization

IP CT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALICE CHEN MD (SOLE MEMBER)
(203) 705-2087
Entity
Organization

Contact information

Practice address
1 BLACHLEY RD, STAMFORD, CT 06902-0002
(203) 705-2087
(203) 705-2927
Mailing address
PO BOX 626, GREAT RIVER, NY 11739-0626
(203) 705-2087
(203) 705-2927

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
070403
CT

Other

Enumeration date
01/24/2012
Last updated
11/01/2024
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