| Imagine Aesthetics | |
|
2001 W Main St Suite 150 Stamford CT 06902 | |
| (203) 324-4700 | |
| (203) 324-5691 |
| Full Name | Imagine Aesthetics |
|---|---|
| Speciality | Clinic/center |
| Location | 2001 W Main St, Stamford, Connecticut |
| Authorized Official Name and Position | Leif O Nordberg (PRESIDENT) |
| Authorized Official Contact | 2033244700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine Aesthetics 2001 W Main St Suite 150 Stamford CT 06902-4501 Ph: (203) 324-4700 | Imagine Aesthetics 2001 W Main St Suite 150 Stamford CT 06902 Ph: (203) 324-4700 |
| NPI Number | 1801231659 |
|---|---|
| Provider Enumeration Date | 05/07/2013 |
| Last Update Date | 08/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801231659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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