Organization
INTEGRATED MEDICAL OF DANBURY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LANCE GERSTENFELD M.D. (OWNER/MANAGER)
(203) 297-6120
Entity
Organization
Contact information
Practice address
46 MILL PLAIN RD, DANBURY, CT 06811-5140
(203) 297-6120
(203) 297-6122
Mailing address
46 MILL PLAIN RD, DANBURY, CT 06811-5140
(203) 297-6120
(203) 297-6122
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
031959
CT
Other
Enumeration date
08/28/2009
Last updated
09/16/2010
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