Manchester Orthopedic Surgery & Sport Medicine
NPI #1265459077 in Manchester, Connecticut
Provider Information
- NPI Number
- 1265459077
- Entity Type
- Organization
- Organization Name
- Manchester Orthopedic Surgery & Sport Medicine
- Primary Specialty
- Specialist
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Jun 9, 2008
Practice Location
- Address
- 36 HAYNES ST
- City
- Manchester
- State
- Connecticut
- ZIP Code
- 06040-4105
- Phone
- (860) 646-0188
Authorized Official
- Name
- WELLS C JACOBSON, M.D.
- Title
- PRESIDENT
- Phone
- (860) 646-0188
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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