Organization
INTEGRATIVE MEDICAL SOLUTIONS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD CARL KOFFLER M.D. (PRESIDENT)
(917) 903-4531
Entity
Organization
Contact information
Practice address
999 SUMMER ST, SUITE 205, STAMFORD, CT 06905-5546
(203) 614-8600
(203) 614-8598
Mailing address
999 SUMMER ST, SUITE 205, STAMFORD, CT 06905-5546
(203) 614-8600
(203) 614-8598
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
043130
CT
Other
Enumeration date
11/15/2015
Last updated
11/15/2015
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