Fairfield Sports and Spine LLC
NPI #1255660817 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1255660817
- Entity Type
- Organization
- Organization Name
- Fairfield Sports and Spine LLC
- Primary Specialty
- Physical Medicine & Rehabilitation - Sports Medicine
- Enumeration Date
- Dec 10, 2009
- Last Updated
- Mar 27, 2013
Practice Location
- Address
- 650 CLINTON AVE
- Address 2
- SECOND FLOOR
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06605-1704
- Phone
- (203) 372-0649
Authorized Official
- Name
- DR. SEAN R KELLY, MD MS
- Title
- OWNER
- Phone
- (203) 372-0649
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation - Sports Medicine — Sports Medicine |
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