Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Img Medical Group Nj, PA

Organization Sports Medicine (Family Medicine) Physician · NPI 1174205306

Img Medical Group Nj, PA provides Sports Medicine (Family Medicine) Physician services in Stamford, Connecticut. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
PA — Professional association
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: (917) 334-9589
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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
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1174205306
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Refowitz — President · (917) 334-9589
NPI enumeratedAugust 7, 2023
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024
Mailing address201 Broad St Ste 420, Stamford, CT 06901-2004

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