NPI: 1043482128
Provider Name: LEIF O NORDBERG MD, LLC
Doing Business As: CVW BODY DESIGN CENTER - STAMFORD, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization
Specialization: Ambulatory Surgical
Address:
2001 W MAIN ST
SUITE 155
STAMFORD, CT
ZIP 06902
Phone: (203) 324-4700
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LEIF O NORDBERG MD, LLC is an ambulatory surgical clinic center in Stamford, CT. LEIF O NORDBERG MD, LLC NPI is 1043482128. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvw Body Design Center - Stamford, Llc.
The provider's business location address is:
2001 W MAIN ST
SUITE 155
STAMFORD, CT
ZIP 06902
Phone: (203) 324-4700
Fax: (203) 324-5691
The provider's authorized official is Leif O Nordberg .
The authorized official title is President and has the following contact phone number (203) 324-1971.
The enumeration date for this NPI number is 3/28/2008 and was last updated on 8/22/2018.