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Organization
FORWARD ORTHOPEDIC AND SPINE CENTER LLC
Active
Organization
FORWARD ORTHOPEDIC AND SPINE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORENIKEJI BURAIMOH MD (PRINCIPAL)
(617) 281-4340
Entity
Organization
Contact information
Practice address
130 BIRDSEYE RD, FARMINGTON, CT 06032-2444
(860) 247-3279
Mailing address
130 BIRDSEYE RD, FARMINGTON, CT 06032-2444
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
01/09/2025
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