OrganizationActive
Advanced Interventional Pain Management, P.C.
NPI 1093916546 · Interventional Pain Medicine Physician · Milford, CT
Provider details
- NPI number
- 1093916546
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Carruth, Medical Director(203) 876-8854
- License
- 041160 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2080 Bridgeport Ave Ste C
Milford, CT 06460
Phone: (203) 876-8854
Fax: (203) 876-2626
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 264
Shelton, CT 06484-0264
Registry dates
- Enumerated
- 2007-05-31
- Last updated
- 2018-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.