Connecticut Back Center LLC

NPI #1174564942 in Vernon, Connecticut

Provider Information

NPI Number: 1174564942
Entity Type: Organization
Organization Name: Connecticut Back Center LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Jun 10, 2006
Last Updated: Dec 19, 2007

Practice Location

Address: 460 HARTFORD TPKE
Address 2: SUITE B
City: Vernon
State: Connecticut
ZIP Code: 06066-4845
Phone: (860) 872-6229

Authorized Official

Name: AMY EISLER
Title: OFFICE MANAGER
Phone: (860) 872-6229

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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