Connecticut Spine Institute LLC

NPI #1407086762 in Greenwich, Connecticut

Provider Information

NPI Number: 1407086762
Entity Type: Organization
Organization Name: Connecticut Spine Institute LLC
Primary Specialty: Specialist
Enumeration Date: Jul 21, 2009
Last Updated: Jul 31, 2009

Practice Location

Address: 25 VALLEY DR
City: Greenwich
State: Connecticut
ZIP Code: 06831-5203
Phone: (203) 661-3333

Authorized Official

Name: MICHELLE MCDERMOTT
Title: OFFICE ADMINISTRATOR
Phone: (203) 661-3333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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