Organization
CONNECTICUT SPINE AND DISC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E RAFTERY MD (OWNER)
(203) 758-2003
Entity
Organization
Contact information
Practice address
1579 STRAITS TPKE, MIDDLEBURY, CT 06762-1835
(203) 758-2003
Mailing address
1579 STRAITS TPKE, MIDDLEBURY, CT 06762-1835
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
041372
CT
Other
Enumeration date
07/13/2007
Last updated
06/20/2008
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