Organization
PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC
Active
Parent organization
PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC
Authorized official
DAVID C LEVI MD (MEDICAL DOCTOR)
(203) 792-7246
Entity
Organization
Contact information
Practice address
1320 W MAIN ST BLDG 2, WATERBURY, CT 06708-3131
(203) 758-2523
(203) 792-3920
Mailing address
11350 MCCORMICK RD, EXECUTIVE PLAZA 1, SUITE 501, HUNT VALLEY, MD 21031
(410) 329-1071
(410) 329-1054
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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