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

Lifestyle Medicine Center LLC

Organization Pediatrics Physician · NPI 1578980736

Lifestyle Medicine Center LLC provides Pediatrics Physician services in Stamford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2014.

Licensed in
CT
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2777 Summer St Ste 604
Stamford, CT 06905-4318 Not confirmed with CMS for 12 years — call before visiting
Phone: (203) 614-8517
Fax: (203) 614-8518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 039624 (CT)

Record details

NPI number1578980736
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Madhu Mathur — Director · (203) 614-8517
NPI enumeratedMarch 26, 2014
Last updated in NPPESMarch 26, 2014
Mailing address2777 Summer St, Suite 604, Stamford, CT 06905-4318

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