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

Lifestyle Medicine Center LLC

Organization Pediatrics Physician · NPI 1578980736

Lifestyle Medicine Center LLC is a Pediatrics Physician 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
Phone: (203) 614-8517
Fax: (203) 614-8518
Show map & directions

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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