# CONNECTICUT BACK CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174564942
- **Authorized official:** AMY EISLER (OFFICE MANAGER)
- **Authorized official phone:** (860) 872-6229

## Contact information

- **Practice address:** 460 HARTFORD TPKE, SUITE B, VERNON, CT 06066-4845
- **Practice address phone:** (860) 872-6229
- **Practice address fax:** (860) 872-6252
- **Mailing address:** 460 HARTFORD TPKE, SUITE B, VERNON, CT 06066-4845
- **Mailing address phone:** (860) 872-6229
- **Mailing address fax:** (860) 872-6252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | CT | Yes |

## Other

- **Enumeration date:** 06/10/2006
- **Last updated:** 12/19/2007