INTEGRATED MEDICAL OF NEW HAVEN, LLC
Osteopathic Medicine at Park St, New Haven, CT

License number
Connecticut 031959
Category
Osteopathic Medicine
Type
Sports Medicine
Owner
Name: DR. MICHAEL LANCE GERSTENFELD MD
Title: MANAGER
Phone: (203) 773-1935
Address
Address
111 Park St SUITE 1C, New Haven, CT 06511
National Provider ID: 1760714661
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about INTEGRATED MEDICAL OF NEW HAVEN, LLC at bizstanding.com

INTEGRATED MEDICAL OF NEW HAVEN, LLC

Madison Medical Towers, New Haven, CT 06511

Status:
Inactive
Registration:
Jan 20, 2006
State ID:
0846214
Business type:
Domestic Limited Liability Company
Manager:
Michael Gerstenfeld (Manager), Madison Medical Towers, New Haven, CT 06511 (Mailing)
4 Kendall Ter, Danbury, CT 06811 (Physical)
Agent:
Manager Michael Gerstenfeld,527 Tunxis Hl Rd, Fairfield, CT 06825 (Mailing)
4 Kendall Ter E, Danbury, CT 06811 (Physical)

Osteopathic Medicine licenses in Connecticut










Other Doctors licenses in Connecticut