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Organization
FAIRFIELD SPORTS AND SPINE LLC
Active
Organization
FAIRFIELD SPORTS AND SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN R KELLY MD MS (OWNER)
(203) 372-0649
Entity
Organization
Contact information
Practice address
650 CLINTON AVE, SECOND FLOOR, BRIDGEPORT, CT 06605-1704
(203) 372-0649
Mailing address
10 WIMBLEDON LN, EASTON, CT 06612-1238
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
12/10/2009
Last updated
03/27/2013
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