OrganizationActive
Img Medical Group Nj, P.A.
NPI 1174205306 · Sports Medicine (Family Medicine) Physician · Stamford, CT
Provider details
- NPI number
- 1174205306
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Refowitz, President(917) 334-9589
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Practice location
201 Broad St Ste 420
Stamford, CT 06901-2004
Phone: (917) 334-9589
Approximate (ZIP-level) locationGet directions
Mailing address
201 Broad St Ste 420
Stamford, CT 06901-2004
Registry dates
- Enumerated
- 2023-08-07
- Last updated
- 2024-06-28
- Certified
- 2024-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.