Organization
CONNECTICUT SPINE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MCDERMOTT (OFFICE ADMINISTRATOR)
(203) 661-3333
Entity
Organization
Contact information
Practice address
25 VALLEY DR, GREENWICH, CT 06831-5203
(203) 661-3333
(203) 661-5610
Mailing address
25 VALLEY DR, GREENWICH, CT 06831-5203
(203) 661-3333
(203) 661-5610
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/21/2009
Last updated
07/31/2009
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