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Organization

FAIRFIELD SPORTS AND SPINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SEAN R KELLY MD MS (OWNER)
(203) 372-0649
Entity
Organization

Contact information

Practice address
650 CLINTON AVE, SECOND FLOOR, BRIDGEPORT, CT 06605-1704
(203) 372-0649
Mailing address
10 WIMBLEDON LN, EASTON, CT 06612-1238

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary

Other

Enumeration date
12/10/2009
Last updated
03/27/2013
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