Organization
CONNECTICUT BACK CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY EISLER (OFFICE MANAGER)
(860) 872-6229
Entity
Organization
Contact information
Practice address
460 HARTFORD TPKE, SUITE B, VERNON, CT 06066-4845
(860) 872-6229
(860) 872-6252
Mailing address
460 HARTFORD TPKE, SUITE B, VERNON, CT 06066-4845
(860) 872-6229
(860) 872-6252
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
CT
Other
Enumeration date
06/10/2006
Last updated
12/19/2007
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