Orthopaedic & Sports Medicine Ctr PC

NPI #1932234440 in Trumbull, Connecticut

Provider Information

NPI Number: 1932234440
Entity Type: Organization
Organization Name: Orthopaedic & Sports Medicine Ctr PC
Primary Specialty: Specialist
Enumeration Date: Feb 23, 2007
Last Updated: Mar 16, 2012

Practice Location

Address: 888 WHITE PLAINS RD
Address 2: SUITE 105
City: Trumbull
State: Connecticut
ZIP Code: 06611-4552
Phone: (203) 268-2882

Authorized Official

Name: MISS KELLY M POULIN I
Title: PRACTICE ADMINISTRATOR
Phone: (203) 268-2882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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