Organization
EASTERN SPORTS MEDICINE AND SPINE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL FLANAGAN (CREDENTIALER)
(860) 282-4133
Entity
Organization
Contact information
Practice address
701 COTTAGE GROVE ROAD, E230, BLOOMFIELD, CT 06002
(860) 648-0814
Mailing address
99 E RIVER DR, 5TH FLOOR, EAST HARTFORD, CT 06108-3288
(860) 282-4133
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
07/29/2014
Last updated
05/04/2015
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