# NEW ENGLAND SPORTS ORTHOPEDICS SPINE & REHABILITATION LLC

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

## Provider details

- **NPI number:** 1437595600
- **Authorized official:** WENDY TANNER (CONTRACT MANAGER)
- **Authorized official phone:** (413) 788-6197

## Contact information

- **Practice address:** 483 HOLYOKE ST, LUDLOW, MA 01056-1934
- **Practice address phone:** (413) 314-2342
- **Practice address fax:** (866) 314-8454
- **Mailing address:** 62 MYRON ST, WEST SPRINGFIELD, MA 01089-1416
- **Mailing address phone:** (413) 788-6197
- **Mailing address fax:** (413) 731-1476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 226816 | MA | Yes |

## Other

- **Enumeration date:** 05/15/2013
- **Last updated:** 03/08/2016