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Organization
CONNECTICUT VALLEY ORTHOPAEDICS & SPORTS MEDICINE, PC
Active
Organization
CONNECTICUT VALLEY ORTHOPAEDICS & SPORTS MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L MULLER M.D. (ADMINISTRATIVE PARTNER)
(802) 885-6379
Entity
Organization
Contact information
Practice address
106 HANOVER ST, LEBANON, NH 03766-1042
(802) 885-6379
(802) 885-6376
Mailing address
29 RIDGEWOOD RD, PO BOX 2003, SPRINGFIELD, VT 05156-3050
(802) 885-6379
(802) 885-6376
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
NULL
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
Other
Enumeration date
11/02/2006
Last updated
05/05/2008
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