Organization
INTEGRATIVE MEDICAL CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELAYNE GRATOPP NMD (CEO)
(203) 916-3233
Entity
Organization
Contact information
Practice address
917 SOUTH AVE, NEW CANAAN, CT 06840-6738
(203) 916-3233
Mailing address
917 SOUTH AVE, NEW CANAAN, CT 06840-6738
(203) 916-3233
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
133N00000X
CT
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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