Organization
SPORTSMED PT OF CONNECTICUT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL AZAR RN (VP, RCM)
(201) 857-0527
Entity
Organization
Contact information
Practice address
499B WESTPORT AVE, NORWALK, CT 06851-4411
(475) 470-0400
Mailing address
266 HARRISTOWN RD STE 304, GLEN ROCK, NJ 07452-3321
(201) 857-0527
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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