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 is a Sports Medicine (Family Medicine) Physician 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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