Eastern Sports Medicine and Spine Associates LLC

NPI #1679950950 in South Windsor, Connecticut

Provider Information

NPI Number: 1679950950
Entity Type: Organization
Organization Name: Eastern Sports Medicine and Spine Associates LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: May 6, 2015
Last Updated: May 6, 2015

Practice Location

Address: 2800 TAMARACK AVE
Address 2: SUITE 104
City: South Windsor
State: Connecticut
ZIP Code: 06074
Phone: (860) 648-0814

Authorized Official

Name: CHERYL FLANAGAN
Title: CREDENTIALER
Phone: (860) 282-4133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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