Organization
CONNECTICUT SPINE AND SPORTS PHYSICIANS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT R COOPER M.D. (PRESIDENT)
(203) 284-1872
Entity
Organization
Contact information
Practice address
50 S MAIN ST, SUITE 2E, WALLINGFORD, CT 06492-4219
(203) 284-1872
(203) 284-1874
Mailing address
50 S MAIN ST, SUITE 2E, WALLINGFORD, CT 06492-4219
(203) 284-1872
(203) 284-1874
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/11/2006
Last updated
08/22/2020
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