Organization
INTEGRATED MEDICAL OF NORWALK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LANCE GERSTENFELD M.D. (MANAGER)
(203) 845-0400
Entity
Organization
Contact information
Practice address
365 WESTPORT AVE, NORWALK, CT 06851-4344
(203) 845-0400
(203) 845-0005
Mailing address
365 WESTPORT AVE, NORWALK, CT 06851-4344
(203) 845-0400
(203) 845-0005
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
031959
CT
Other
Enumeration date
04/30/2007
Last updated
08/22/2020
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