Provider Demographics
NPI:1124776299
Name:CHRONIC PAIN AND REGENERATIVE MEDICINE ASSOCIATES, CORP
Entity type:Organization
Organization Name:CHRONIC PAIN AND REGENERATIVE MEDICINE ASSOCIATES, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SCLAFANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-470-9165
Mailing Address - Street 1:132 FEDERAL RD STE 107
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-4047
Mailing Address - Country:US
Mailing Address - Phone:203-470-9156
Mailing Address - Fax:
Practice Address - Street 1:132 FEDERAL RD STE 107
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-4047
Practice Address - Country:US
Practice Address - Phone:203-470-9156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-16
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty