Lifestyle Medicine Center LLC
Pediatrics in Stamford, Connecticut
1578980736- Practice location
- 2777 Summer St, Suite 604, Stamford, CT 06905-4318
- Phone
- 203-614-8517
- Fax
- 203-614-8518
- Last updated
- March 26, 2014
Lifestyle Medicine Center LLC is a healthcare organization based in Stamford, CT. Lifestyle Medicine Center LLC practices in Stamford, CT. The NPI Number for Lifestyle Medicine Center LLC is 1578980736 and holds a License No. 039624 (CT). The current practice location address for Lifestyle Medicine Center LLC is 2777 Summer St, Suite 604, Stamford, CT 06905-4318 and can be reached out via phone at 203-614-8517 and via fax at 203-614-8518.
Provider Profile Details
- NPI Number
- 1578980736
- Provider Name
- Lifestyle Medicine Center LLC
- Provider Entity Type
- Organization
- Address
- 2777 Summer St, Suite 604, Stamford, CT 06905-4318
- Phone Number
- 203-614-8517
- Fax Number
- 203-614-8518
- Primary Taxonomy
- Pediatrics · 208000000X
- Organization Subpart
- No
- Authorized Official
- Dr. Madhu Mathur, MD · Director · 203-614-8517
- Provider Enumeration Date
- March 26, 2014
- Last Update Date
- March 26, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2777 Summer St
Suite 604
Stamford, CT 06905-4318 - City
- Stamford
- State
- Connecticut
- Zip
- 06905-4318
- Phone Number
- 203-614-8517
- Fax Number
- 203-614-8518
Provider Business Mailing Address Details
- Address
- 2777 Summer St
Suite 604
Stamford, CT 06905-4318 - City
- Stamford
- State
- CT
- Zip
- 06905-4318
- Phone Number
- 203-614-8517
- Fax Number
- 203-614-8518
License Information
- License Number
- 039624
- License State
- CT
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Stamford, CT
View all Pediatrics providers in Stamford →Frequently Asked Questions
What is the NPI number of Lifestyle Medicine Center LLC?
The NPI number of Lifestyle Medicine Center LLC is 1578980736. It was assigned on March 26, 2014 and is currently active in the NPPES registry.
What is the specialty of Lifestyle Medicine Center LLC?
Lifestyle Medicine Center LLC is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 039624.
Where does Lifestyle Medicine Center LLC practice?
The practice location is 2777 Summer St, Suite 604, Stamford, CT 06905-4318. The office can be reached at 203-614-8517 (phone) or 203-614-8518 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578980736 directly on the NPPES registry website.