Organization
APPLEGATE ORTHOPEDIC SPINE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD DAVID APPLEGATE DO (DIRECTOR)
(860) 391-8068
Entity
Organization
Contact information
Practice address
5 PEQUOT PARK RD, SUITE 201A, WESTBROOK, CT 06498-2856
(860) 391-8068
Mailing address
5 PEQUOT PARK RD, SUITE 201A, WESTBROOK, CT 06498-2856
(860) 391-8068
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
044333
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044333
CT LISENSE
CT
Enumeration date
06/17/2008
Last updated
07/09/2012
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