Organization
NEW ENGLAND SPINE AND DISC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PEGGY MILLER (OFFICE MANAGER)
(203) 799-3472
Entity
Organization
Contact information
Practice address
391 BOSTON POST RD, ORANGE, CT 06477-3578
(203) 799-3472
(203) 799-3476
Mailing address
391 BOSTON POST RD, ORANGE, CT 06477-3578
(203) 799-3472
(203) 799-3476
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000551
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4068763
—
CT
01
—
941550
PHS
CT
Enumeration date
09/30/2010
Last updated
09/30/2010
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