Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Img Medical Group Mi, PC

Organization Sports Medicine (Family Medicine) Physician · NPI 1578308862

Img Medical Group Mi, PC provides Sports Medicine (Family Medicine) Physician services in Stamford, Connecticut. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

201 Broad St Ste 420
Stamford, CT 06901-2004
Phone: (888) 760-4266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1578308862
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelsi Sullivan — Vp Clinical Services · (888) 760-4266
NPI enumeratedJune 27, 2024
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024
Mailing address201 Broad St Ste 420, Stamford, CT 06901-2004

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