Provider Demographics
NPI:1093393043
Name:SYNERGY
Entity Type:Organization
Organization Name:SYNERGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:AUBRE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:617-947-2853
Mailing Address - Street 1:PO BOX 1250
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-9250
Mailing Address - Country:US
Mailing Address - Phone:617-947-2853
Mailing Address - Fax:860-295-1341
Practice Address - Street 1:10 MOORLAND DR
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-1513
Practice Address - Country:US
Practice Address - Phone:617-947-2853
Practice Address - Fax:860-295-1341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty