Lifestyle Medicine Center LLC
NPI #1578980736 in Stamford, Connecticut
Provider Information
- NPI Number
- 1578980736
- Entity Type
- Organization
- Organization Name
- Lifestyle Medicine Center LLC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Mar 26, 2014
- Last Updated
- Mar 26, 2014
Practice Location
- Address
- 2777 SUMMER ST
- Address 2
- SUITE 604
- City
- Stamford
- State
- Connecticut
- ZIP Code
- 06905-4318
- Phone
- (203) 614-8517
Authorized Official
- Name
- DR. MADHU MATHUR, MD
- Title
- DIRECTOR
- Phone
- (203) 614-8517
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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