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1578980736
LIFESTYLE MEDICINE CENTER LLC
STAMFORD, CT
NPI
1578980736
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Entity Type
Organization
Authorized Contact
MADHU MATHUR
Director
203-614-8517
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CT 039624)
Enumeration Date
2014-03-26
Last Update Date
2014-03-26
Business Address
LIFESTYLE MEDICINE CENTER LLC
2777 SUMMER ST SUITE 604
STAMFORD, CT 06905-4318
Phone number: 203-614-8517
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Mailing Address
LIFESTYLE MEDICINE CENTER LLC
2777 SUMMER ST SUITE 604
STAMFORD, CT 06905-4318
Phone number: 203-614-8517
Copy
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