Provider Type Icon

LIFESTYLE MEDICINE CENTER LLC NPI 1578980736


NPI Information

NPI: 1578980736
Provider Name: LIFESTYLE MEDICINE CENTER LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2777 SUMMER ST
SUITE 604
STAMFORD, CT
ZIP 06905
Phone: (203) 614-8517
Get Directions

LIFESTYLE MEDICINE CENTER LLC is a pediatrics in Stamford, CT. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. LIFESTYLE MEDICINE CENTER LLC NPI is 1578980736. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2777 SUMMER ST
SUITE 604
STAMFORD, CT
ZIP 06905-318
Phone: (203) 614-8517
Fax: (203) 614-8518

The provider's authorized official is Madhu Mathur .
The authorized official title is Director and has the following contact phone number (203) 614-8517.

The enumeration date for this NPI number is 3/26/2014 and was last updated on 3/26/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics039624CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.