# CONNECTICUT VALLEY ORTHOPAEDICS & SPORTS MEDICINE, PC

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

## Provider details

- **NPI number:** 1487732822
- **Authorized official:** DAVID L MULLER M.D. (ADMINISTRATIVE PARTNER)
- **Authorized official phone:** (802) 885-6379

## Contact information

- **Practice address:** 106 HANOVER ST, LEBANON, NH 03766-1042
- **Practice address phone:** (802) 885-6379
- **Practice address fax:** (802) 885-6376
- **Mailing address:** 29 RIDGEWOOD RD, PO BOX 2003, SPRINGFIELD, VT 05156-3050
- **Mailing address phone:** (802) 885-6379
- **Mailing address fax:** (802) 885-6376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | NULL | Yes |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 05/05/2008
