Provider Demographics
NPI:1306699830
Name:INTEGRATED PATIENT SOLUTIONS OF CONNECTICUT, P.C.
Entity type:Organization
Organization Name:INTEGRATED PATIENT SOLUTIONS OF CONNECTICUT, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, CENTRAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:ALLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-408-5442
Mailing Address - Street 1:1125 17TH ST STE 1000
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-2043
Mailing Address - Country:US
Mailing Address - Phone:980-443-4852
Mailing Address - Fax:
Practice Address - Street 1:1266 E MAIN ST STE 700R, OFC 619
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-3546
Practice Address - Country:US
Practice Address - Phone:347-252-9771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-05
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center